FORM 1023-EZ for BOLAR VOLUNTEER RESCUE SQUAD INC

Field Data
EIN 84-3393836
Case Number EO-2019294-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOLAR VOLUNTEER RESCUE SQUAD INC
Organization’s Mailing Address PO BOX 1309
City HOT SPRINGS
State VA
ZIP 24445
Accounting period End 12
Primary contact name TAYLOR BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY POFF
DIRECTOR
19052 SAM SNEAD HWY
WARM SPRINGS VA 24484

Officer/Director/Trustee Two

DANIEL REXRODE
DIRECTOR
21271 SAM SNEAD HWY
WARM SPRINGS VA 24484

Officer/Director/Trustee Three

PAUL TERRY
DIRECTOR
2183 BIG VALLEY ROAD
WARM SPRINGS VA 24484

Officer/Director/Trustee Four

WAYNE HANNAH
PRESIDENT
498 ROBINSON LANE
WARM SPRINGS VA 24484

Officer/Director/Trustee Five

CHRISTOPHER MOORE
VICE PRESIDENT
6311 BIG VALLEY ROAD
WARM SPRINGS VA 24484

Organization’s website
Organization’s email TAYLORBAKER@BATHCOUNTYLAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, 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 LARRY POFF
Signature Title DIRECTOR
Signature Date 10/17/19

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