FORM 1023-EZ for SLOCOMB FIRE PROTECTION DISTRICT

Field Data
EIN 84-2206363
Case Number EO-2019178-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SLOCOMB FIRE PROTECTION DISTRICT
Organization’s Mailing Address 324 S STATE HIGHWAY 103
City SLOCOMB
State AL
ZIP 36375
Accounting period End 9
Primary contact name ADRIAN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB HINSON
BOARD CHAIRMAN
324 SOUTH STATE HWY 103
SLOCOMB AL 36375

Officer/Director/Trustee Two

TAMMY BAILEY
TREASURER
324 S STATE HIGHWAY 103
SLOCOMB AL 36375

Officer/Director/Trustee Three

QUENTIN HELMS
SECRETARY
324 S STATE HIGHWAY 103
SLOCOMB AL 36375

Officer/Director/Trustee Four

STEVE MILLER
BOARD MEMBER
324 S STATE HIGHWAY 103
SLOCOMB AL 36375

Officer/Director/Trustee Five

TRAVIS GARRETT
BOARD MEMBER
324 S STATE HIGHWAY 103
SLOCOMB AL 36375

Organization’s website
Organization’s email MARTYBOWDEN7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
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 ROB HINSON
Signature Title BOARD CHAIRMAN
Signature Date 6/25/19

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