FORM 1023-EZ for ADDISON RESCUE SQUAD INC

Field Data
EIN 81-1068093
Case Number EO-2017198-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADDISON RESCUE SQUAD INC
Organization’s Mailing Address POST OFFICE BOX 51
City ADDISON
State AL
ZIP 35540
Accounting period End 12
Primary contact name BILL GOUGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL GOUGE
PRESIDENT
12680 COUNTY ROAD
ARLEY AL 35541

Officer/Director/Trustee Two

TERRY POYNTER
VICE-PRESIDENT
213 COUNTY ROAD 4006
ARLEY AL 35541

Officer/Director/Trustee Three

ROMANA GOUGE
SECRETARY
12680 COUNTY ROAD
ARLEY AL 35541

Officer/Director/Trustee Four

CHARLOTTE BROOME
TREASURER
2748 COUNTY ROAD 43
ADDISON AL 35540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/1973
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 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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