FORM 1023-EZ for MOHAVE COUNTY SEARCH AND RESCUE ARIZONA STRIP UNIT

Field Data
EIN 38-4090159
Case Number EO-2018269-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOHAVE COUNTY SEARCH AND RESCUE ARIZONA STRIP UNIT
Organization’s Mailing Address 3375 NORTH BANK STREET
City KINGMAN
State NV
ZIP 86409
Accounting period End 12
Primary contact name RODNEY GORDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD SOSEY
PRESIDENT
5125 WEST RENO AVE 2048
LAS VEGAS NV 89118

Officer/Director/Trustee Two

ROD GORDER
VICE PRESIDENT
PO BOX 717
MESQUITE NV 89027

Officer/Director/Trustee Three

MATT PACHECO
SARGENT AT ARMS
3016 BICENTENIAL PARKWAY
HENDERSON NV 89044

Officer/Director/Trustee Four

PATRICIA RYAN SHAW
SEC
8309 ANTLER PINES COURT
LAS VEGAS NV 89149

Officer/Director/Trustee Five

MARK COBB
TREASURE
417 PINNAICLE HIGHTS LANE
LAS VEGAS NV 89144

Organization’s website
Organization’s email RODGORDER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/18
Organization Incorporation State AZ
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 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 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 ROD GORDER
Signature Title VICE PRESIDENT
Signature Date 9/24/18

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