FORM 1023-EZ for HARDIN COUNTY MOUNTED SEARCH AND RESCUE INC

Field Data
EIN 81-3143447
Case Number EO-2016190-000613
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARDIN COUNTY MOUNTED SEARCH AND RESCUE INC
Organization’s Mailing Address 170 N PROVIDENT WAY
City ELIZABETHTOWN
State KY
ZIP 42701-7915
Accounting period End 12
Primary contact name SUZANNE PETRASKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUZANNE PETRASKA
PRESIDENT / TRAINING OFFICER
170 N PROVIDENT WAY
ELIZABETHTOWN KY 42701-7915

Officer/Director/Trustee Two

RENA BARTLETT
VICE-PRESIDENT / TREASURER
170 N PROVIDENT WAY
ELIZABETHTOWN KY 42701-7915

Officer/Director/Trustee Three

ERIC COGDELL
SECRETARY
170 N PROVIDENT WAY
ELIZABETHTOWN KY 42701-7915

Officer/Director/Trustee Four

CARMEN COMBS
EVENT COORDINATOR
170 N PROVIDENT WAY
ELIZABETHTOWN KY 42701-7915

Officer/Director/Trustee Five

JEN HALL
COMMITTEE LEADER
170 N PROVIDENT WAY
ELIZABETHTOWN KY 42701-7915

Organization’s website WWW.FACEBOOK.COM/HCMSAR
Organization’s email HCMSAR@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State KY
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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