FORM 1023-EZ for CRUZAN RELIEF DISASTER RELIEF ASSISTANCE CORPORATION

Field Data
EIN 82-2879547
Case Number EO-2017275-000634
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRUZAN RELIEF DISASTER RELIEF ASSISTANCE CORPORATION
Organization’s Mailing Address 100 RIVERS EDGE DR SUITE 338
City MEDFORD
State MA
ZIP 02155
Accounting period End 1
Primary contact name EDNA EDMUNDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDNA EDMUNDS
OFFICER, PRESIDENT
100 RIVERS EDGE DR SUITE 338
MEDFORD MA 02155

Officer/Director/Trustee Two

PATY EDMUNDS
DIRECTOR
100 RIVERS EDGE DR SUITE 338
MEDFORD MA 02155

Organization’s website DISASTERRELIEF1.COM
Organization’s email CRUZANRELIEF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 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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