FORM 1023-EZ for CLINTON VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 10-0941111
Case Number EO-2016330-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINTON VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 87
City CLINTON
State AL
ZIP 35448
Accounting period End 12
Primary contact name DONALD H WOOD CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA HARDY
PRESIDENT
11 AL HWY 39
EUTAW AL 35462

Officer/Director/Trustee Two

GLORIA INGRAM
SECRETARY
940 WEST END ST APT 1F
EUTAW AL 35462

Officer/Director/Trustee Three

LAKAYA JONES
ASST SECRETARY
11 AL HWY 39
EUTAW AL 35462

Officer/Director/Trustee Four

PAULENE HUGHES
TREASURER
588 AL HWY 39
EUTAW AL 35462

Officer/Director/Trustee Five

SCOTT HARDY
FIRE CHIEF
11 AL HWY 39
EUTAW AL 35462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2010
Organization Incorporation State AL
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 No
One Third Support Gifts Yes
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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