FORM 1023-EZ for GRUNDY COUNTY VOLUNTEER FIREFIGHTERS ASSOCIATION INC

Field Data
EIN 83-1664421
Case Number EO-2018239-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRUNDY COUNTY VOLUNTEER FIREFIGHTERS ASSOCIATION INC
Organization’s Mailing Address 944 55TH AVENUE
City GRUETLI-LAAGER
State TN
ZIP 37339
Accounting period End 12
Primary contact name WILLIAM RIEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN JOSLYN
PRESIDENT/DIRECTOR
944 55TH AVENUE
GRUETLI-LAAGER TN 37339

Officer/Director/Trustee Two

ERIC BIRDWELL
VICE-PRESIDENT/DIRECTOR
2837 SR 399
PALMER TN 37356

Officer/Director/Trustee Three

MIKE HOLMES
SECRETARY/DIRECTOR
433 SPRING STREET
MONTEAGLE TN 37356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ALLEN JOSLYN
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/23/18

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