FORM 1023-EZ for MOSSVILLE VOLUNTEER FIRE DEPARTMENT

Field Data
EIN 30-0748360
Case Number EO-2014302-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSSVILLE VOLUNTEER FIRE DEPARTMENT
Organization’s Mailing Address PO BOX 63
City MOSS
State MS
ZIP 39460
Accounting period End 12
Primary contact name CHARLOTTE WEBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARRETT INGRAM
PRESIDENT
440 COUNTY ROAD 812
LAUREL MS 39443

Officer/Director/Trustee Two

DOUGLAS KELLEY
VICE PRESIDENT
177 COUNTY ROAD 155
STRINGER MS 39481

Officer/Director/Trustee Three

CRISTIE WEBB
SECRATARY-TREASURER
127 COUNTY ROAD 233
LAUREL MS 39443

Organization’s website
Organization’s email MOSSVILLEVFD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/1992
Organization Incorporation State MS
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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