FORM 1023-EZ for MAHASKA COUNTY COMMUNITY EMERGENCY RESPONSE TEAM

Field Data
EIN 81-3530092
Case Number EO-2016344-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAHASKA COUNTY COMMUNITY EMERGENCY RESPONSE TEAM
Organization’s Mailing Address 214 HIGH AVE EAST
City OSKALOOSA
State IA
ZIP 52577
Accounting period End 12
Primary contact name JAMES WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WALKER
PRESIDENT
301 NORTH L STREET
OSKALOOSA IA 52577

Officer/Director/Trustee Two

JEFF RIDENOUR
VICE PRESIDENT
315 NORTH I STREET
OSKALOOSA IA 52577

Officer/Director/Trustee Three

JANE WALKER
SECRETARY/TREASURER
301 NORTH L STREET
OSKALOOSA IA 52577

Officer/Director/Trustee Four

MADISON ROBINSON
DIRECTOR
106 WEST CEDAR LANE
NEW SHARON IA 50207

Officer/Director/Trustee Five

DEREK HAWK
DIRECTOR
710 B AVE EAST
OSKALOOSA IA 52577

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State IA
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: 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 Yes
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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