FORM 1023-EZ for RURAL DATA INC

Field Data
EIN 81-2710712
Case Number EO-2016154-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RURAL DATA INC
Organization’s Mailing Address 6288 E CAPPS HWY
City LAMONT
State FL
ZIP 32336
Accounting period End 12
Primary contact name DENNIS DAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM ROGERS
PRESIDENT
44 N MONROE ST
TALLAHASSEE FL 32301

Officer/Director/Trustee Two

PRITI DILKHUSH
VICE PRESIDENT
12818 STANWYCK CIRCLE
TAMPA FL 33626

Officer/Director/Trustee Three

BRUCE WINK
VICE PRESIDENT
1054 21ST NORTH
JACKSONVILLE BEACH FL 32250

Officer/Director/Trustee Four

CHAMP CLARK
VICE PRESIDENT
703 4TH AVE NORTH
JACKSONVILLE BEACH FL 32250

Officer/Director/Trustee Five

DENNIS DAYTON
EXECUTIVE DIRECTOR
2620 SHILOH WAY
TALLAHASSEE FL 32308

Organization’s website WWW.RURALDATA.ORG
Organization’s email DENNISSDAYTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W50 - Telephone, Telegraph and Telecommunication 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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