FORM 1023-EZ for JOHNSON RESCUE SQUAD INC

Field Data
EIN 27-4913185
Case Number EO-2015111-000030
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHNSON RESCUE SQUAD INC
Organization’s Mailing Address 105 MAIN ST
City JOHNSON
State NE
ZIP 68378
Accounting period End 12
Primary contact name LAWRENCE WASKOWIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY VOLKER
CAPTAIN
73170 HWY 105
JOHNSON NE 68378-3512

Officer/Director/Trustee Two

CATHERINE BURROUGHS
CO-CAPTAIN
114 MULBERRY
JOHNSON NE 68378

Officer/Director/Trustee Three

LAWRENCE WASKOWIAK
TREASURER
109 MAIN ST
JOHNSON NE 68378

Officer/Director/Trustee Four

BEATRICE BRAILEY
SECRETARY
12 4TH ST
JOHNSON NE 68378

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2011
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
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 Yes
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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