FORM 1023-EZ for BLUE MOUNTAIN RESPONDERS

Field Data
EIN 86-3789995
Case Number EO-2021155-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE MOUNTAIN RESPONDERS
Organization’s Mailing Address 73 CLIFFSIDE ROAD
City LINDEN
State VA
ZIP 22642
Accounting period End 12
Primary contact name PAUL TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL TAYLOR
PRESIDENT & DIRECTOR
73 CLIFFSIDE ROAD
LINDEN VA 22642

Officer/Director/Trustee Two

JESSICA TAYLOR
VP & DIRECTOR
73 CLIFFSIDE ROAD
LINDEN VA 22642

Officer/Director/Trustee Three

ROBERT DIMMEL
SECRETARY & DIRECTOR
12106 HUME RD
HUME PA 22639

Officer/Director/Trustee Four

BEN JOST
TREASURER & DIRECTOR
327 MCDONALDS FARM ROAD
LINDEN VA 22642

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 PAUL TAYLOR
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/2/2021

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