FORM 1023-EZ for RUSERT RANCH

Field Data
EIN 81-4018811
Case Number EO-2016335-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUSERT RANCH
Organization’s Mailing Address 102 SHAW LANE
City WILSONVILLE
State AL
ZIP 35186
Accounting period End 12
Primary contact name JASON R RUSERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON RUSERT
PRESIDENT
102 SHAW LANE
WILSONVILLE AL 35186

Officer/Director/Trustee Two

FELICIA VEAL
SECRETARY
537 ALSTON PARK DRIVE
VESTAVIA AL 35242

Officer/Director/Trustee Three

KEN EFFINGER
DIRECTOR
3229 KARL DALY ROAD
BIRMINGHAM AL 35210

Officer/Director/Trustee Four

DIANE DUNNING
DIRECTOR
PO BOX 13248
BIRMINGHAM AL 35202-3248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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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