FORM 1023-EZ for PEG LEG VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 72-1381841
Case Number EO-2014349-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEG LEG VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address 190 PEG LEG LANE
City MANY
State LA
ZIP 71449
Accounting period End 12
Primary contact name CINDY SALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSE BRANAM
FIRE CHIEF
190 PEG LEG LANE
MANY LA 71449

Officer/Director/Trustee Two

MIKE PITT
ASSISTANT CHIEF
190 PEG LEG LANE
MANY LA 71449

Officer/Director/Trustee Three

ROBERT BREWER
ASSISTANT CHIEF
190 PEG LEG LANE
MANY LA 71449

Officer/Director/Trustee Four

NERISSA PITT
SECRETARY
190 PEG LEG LANE
MANY LA 71449

Officer/Director/Trustee Five

CINDY SALTER
TREASURER
190 PEG LEG LANE
MANY LA 71449

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State LA
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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