FORM 1023-EZ for GRAYS RIVER FIRE AND AMBULANCE FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-2336004 |
| Case Number | EO-2014342-000350 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GRAYS RIVER FIRE AND AMBULANCE FOUNDATION |
| Organization’s Mailing Address | P O BOX 5 |
| City | GRAYS RIVER |
| State | WA |
| ZIP | 98621-9705 |
| Accounting period End | 12 |
| Primary contact name | STEVEN PUDDICOMBE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JOEL FITTS
CHAIR
193 LOOP ROAD
GRAYS RIVER WA 98621-9730
Officer/Director/Trustee Two
FRIEDA FOOTH
TREASURER
PO BOX 5
ROSBURG WA 98643-0005
Officer/Director/Trustee Three
JON GUDMUNDSEN
VICE CHAIR
3906 WSR4
GRAYS RIVER WA 98621-9615
Officer/Director/Trustee Four
EDWARD HUNT
SECRETARY
4103 WSR4
ROSBURG WA 98643-9606
Officer/Director/Trustee Five
KIMBERLY DEJESUS
DIRECTOR
3564 WSR4
GRAYS RIVER WA 98621-9703
| Organization’s website | NA |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/12/2014 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M60 - Public Safety |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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