FORM 1023-EZ for CARROLL COUNTY SEARCH AND RESCUE INC

Field Data
EIN 54-1833299
Case Number EO-2016020-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARROLL COUNTY SEARCH AND RESCUE INC
Organization’s Mailing Address P O BOX 367 100 EXPANSION DRIVE
City HILLSVILLE
State VA
ZIP 24343
Accounting period End 12
Primary contact name RODGER JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE MARSHALL
CAPTAIN
58 BROKEN SHOE ROAD
WOODLAWN VA 24381

Officer/Director/Trustee Two

RUTH RIFFEY
SECRETARY
1152 COON RIDGE ROAD
HILLSVILLE VA 24343

Officer/Director/Trustee Three

RODGER JENNINGS
TREASURER
WOODLAWN
VA VA 24381

Organization’s website WWW.W4GHS.ORG/SAR.HTML
Organization’s email CARROLL100@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2004
Organization Incorporation State VA
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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