FORM 1023-EZ for RAMPART COUNTY FIRE DEPARTMENT DISASTER RESPONSE

Field Data
EIN 85-1725015
Case Number EO-2020188-000704
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAMPART COUNTY FIRE DEPARTMENT DISASTER RESPONSE
Organization’s Mailing Address 11728 WEST MAUNA LOA LANE
City EL MIRAGE
State AZ
ZIP 85335
Accounting period End 12
Primary contact name NICOLE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE SMITH
FIRE CHIEF
11728 WEST MAUNA LOA LANE
EL MIRAGE AZ 85335

Officer/Director/Trustee Two

CHRISTINA SMITH
ASSISTANT CHIEF
11728 WEST MAUNA LOA LANE
EL MIRAGE AZ 85335

Officer/Director/Trustee Three

JACOB HOLLEY
SECRETARY
11728 WEST MAUNA LOA LANE
EL MIRAGE AZ 85335

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport 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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 NICOLE SMITH
Signature Title FIRE CHIEF
Signature Date 7/2/2020

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