FORM 1023-EZ for CHESTER COUNTY RESCUE SQUAD

Field Data
EIN 62-1491632
Case Number EO-2021272-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHESTER COUNTY RESCUE SQUAD
Organization’s Mailing Address 320 QUINCO DRIVE
City HENDERSON
State TN
ZIP 38340
Accounting period End 12
Primary contact name DILLON FAULKNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DILLON FAULKNER
CAPTAIN
4130 SWEET LIPS ROAD
HENDERSON TN 38340-4665

Officer/Director/Trustee Two

THOMAS GILHAM
FIRST LIEUTENANT
3645 STATE ROUTE 22A SOUTH
ENVILLE TN 38332-1755

Officer/Director/Trustee Three

REX BARNES
SECOND LIEUTENANT
4060 SWEET LIPS ROAD
HENDERSON TN 38340-4663

Officer/Director/Trustee Four

RICHARD HEISMANN
TRESURER
1355 COX ROAD
HENDERSON TN 38340-3712

Officer/Director/Trustee Five

JAMES GRISWELL
UNIT DIRECTOR
980 ROBY ROAD
REAGAN TN 38368-1827

Organization’s website
Organization’s email CHESTERCOUNTYRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/1975
Organization Incorporation State TN
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 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 DILLON FAULKNER
Signature Title CAPTAIN
Signature Date 9/27/2021

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