FORM 1023-EZ for MAD RIVER SKI PATROL

Field Data
EIN 81-1410447
Case Number EO-2016116-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAD RIVER SKI PATROL
Organization’s Mailing Address 1000 SNOW VALLEY DR
City ZANESFIELD
State OH
ZIP 43360
Accounting period End 5
Primary contact name TROY GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY GREEN
PATROL DIRECTOR
4781 SYCAMORE ST
LIMA OH 45807

Officer/Director/Trustee Two

SCOTT GRIFFITH
ASSISTANT PATROL DIRECTOR
719 SUNTREE DR
WESTERVILLE OH 43081

Officer/Director/Trustee Three

MIKE MCKAY
TREASURER
7447 E LIBERTY RD N
SUNBURY OH 43074

Officer/Director/Trustee Four

JIM VICKROY
BOARD MEMBER
11193 TOWNSHIP RD 141
EAST LIBERTY OH 43319

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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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