FORM 1023-EZ for RESILIENT FIRST RESPONDERS INC

Field Data
EIN 87-1036027
Case Number EO-2021159-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESILIENT FIRST RESPONDERS INC
Organization’s Mailing Address 1257 WEST WARNER ROAD SUITE B4
City CHANDLER
State AZ
ZIP 85224
Accounting period End 12
Primary contact name EVAN VAN DRIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN VAN DRIEL
DIRECTOR
839 E ROCKWELL DRIVE
CHANDLER AZ 85224-8491

Officer/Director/Trustee Two

SCOTT MAYMON
DIRECTOR
1219 W MONTE AVENUE
TEMPE AZ 85202-7527

Officer/Director/Trustee Three

SARAH MAYMON
DIRECTOR
1219 W MONTE AVENUE
TEMPE AZ 85202-7527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
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 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 EVAN VAN DRIEL
Signature Title DIRECTOR
Signature Date 6/6/2021

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