FORM 1023-EZ for ROGERS AND HAZARD RELIEF SOCIETY INC

Field Data
EIN 30-0337694
Case Number EO-2016120-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROGERS AND HAZARD RELIEF SOCIETY INC
Organization’s Mailing Address 2200 BASIN HARBOR RD ATTN SHELLY
City VERGENNES
State VT
ZIP 05491
Accounting period End 12
Primary contact name SHELLY ERIKSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARLENE DEVINE
PRESIDENT
834 LITTLE CHICAGO RD
FERRISBURGH VT 05456

Officer/Director/Trustee Two

SALLY TORREY
SECRETARY
1783 SAND RD
FERRISBURGH VT 05456

Officer/Director/Trustee Three

SHELLY ERIKSEN
TREASURER
2200 BASIN HARBOR RD
WEST FERRISBURGH VT 05491

Officer/Director/Trustee Four

ART COHEN
OFFICER
957 ROBINSON RD
FERRISBURGH VT 05456

Officer/Director/Trustee Five

KIM HORNUNG-MARCY
OFFICER
227 OLD HOLLOW RD
NORTH FERRISBURGH VT 05473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/1993
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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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