FORM 1023-EZ for HISTORICAL RESCUE FOUNDATION INC

Field Data
EIN 83-3225138
Case Number EO-2019058-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HISTORICAL RESCUE FOUNDATION INC
Organization’s Mailing Address 911 LAKEVILLE STREET 239
City PETALUMA
State CA
ZIP 94952
Accounting period End 12
Primary contact name KELLY MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MOSS
CEO
911 LAKEVILLE STREET 239
PETALUMA CA 94952

Officer/Director/Trustee Two

KELLY MOSS
CFO
911 LAKEVILLE STREET 239
PETALUMA CA 94952

Officer/Director/Trustee Three

R RANDALL SHAFFER
SECRETARY
17130 151ST AVENUE SE
RENTON WA 98058

Organization’s website WWW.HISTORICALRESCUEFOUNDATION.COM
Organization’s email KELLY@HISTORICALHUNTERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 KELLY MOSS
Signature Title CFO
Signature Date 2/25/19

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