FORM 1023-EZ for HARRISON COUNTY FIRE DEPARTMENT ASSOCIATION INC

Field Data
EIN 46-5640347
Case Number EO-2017244-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRISON COUNTY FIRE DEPARTMENT ASSOCIATION INC
Organization’s Mailing Address PO BOX 721
City CYNTHIANA
State KY
ZIP 41031-0721
Accounting period End 12
Primary contact name HEATHER CARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER CARSON
SECRETARY
112 EAST PENN ST
CYNTHIANA KY 41031

Officer/Director/Trustee Two

CHARLES CARSON
CHIEF
6190 KY HWY 36 W
CYNTHIANA KY 41031

Officer/Director/Trustee Three

JAMES MCCARTY
PRESIDENT
256 GARNETT RD
CYNTHIANA KY 41031

Officer/Director/Trustee Four

NICHOLAS CARSON
CAPTAIN
112 EAST PENN ST
CYNTHIANA KY 41031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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