FORM 1023-EZ for FIRST RESPONDERS MAKING A DIFFERENCE

Field Data
EIN 81-5035339
Case Number EO-2017023-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIRST RESPONDERS MAKING A DIFFERENCE
Organization’s Mailing Address PO BOX 8463
City LACEY
State WA
ZIP 98509
Accounting period End 12
Primary contact name CHARLES MCSWAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GARRETT
PRESIDENT
PO BOX 8463
LACEY WA 98509

Officer/Director/Trustee Two

TIMOTHY P BRANIFF
VICE PRESIDENT
4611 SOUTHERNESS LANE SE
LACEY WA 98513

Officer/Director/Trustee Three

DAN WEISS
SECRETARY
3910 PRESTWICK LANE SE
OLYMPIA WA 98501

Officer/Director/Trustee Four

CHARLES A MCSWAIN
TREASURER
6528 TURNBERRY LANE SE
OLYMPIA WA 98501

Officer/Director/Trustee Five

MICHAEL MATTOX
DIRECTOR
3812 KINSALE LANE SE
OLYMPIA WA 98501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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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