FORM 1023-EZ for PRAIRIE HILL VOLUNTEER FIRE DEPARTMENT INC

Field Data
EIN 71-0956178
Case Number EO-2015118-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRAIRIE HILL VOLUNTEER FIRE DEPARTMENT INC
Organization’s Mailing Address 5335 WEST FM 73 SUITE B
City PRAIRIE HILL
State TX
ZIP 76678
Accounting period End 12
Primary contact name ELAINE HOLLISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE JORDAN
DIRECTOR
5345 FM 339 NORTH
PRAIRIE HILL TX 76678

Officer/Director/Trustee Two

OBED BAILEY
PRESIDENT
10340 HWY 84 WEST
PRAIRIE HILL TX 76678

Officer/Director/Trustee Three

JERRY BASS
VICE PRESIDENT
812 LCR 310
MART TX 76664

Officer/Director/Trustee Four

VIVIAN ELAINE HOLLISTER
TREASURER
1579 LCR 310
MART TX 76664

Officer/Director/Trustee Five

CLAUDE HOLLISTER
FIRE CHIEF
1579 LCR 310
MART TX 76664

Organization’s website
Organization’s email V_ELAINE1949@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/1993
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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