FORM 1023-EZ for KNOTT COUNTY EMERGENCY RESCUE SQUADINC

Field Data
EIN 30-0549986
Case Number EO-2016040-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOTT COUNTY EMERGENCY RESCUE SQUADINC
Organization’s Mailing Address 2048 HWY 7 SOUTH
City DEMA
State KY
ZIP 41859
Accounting period End 12
Primary contact name ROBERT BLANTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUSSELL BENTLEY
TREASURER
6740 S HWY 7
TOPMOST KY 41862

Officer/Director/Trustee Two

ROBERT BLANTON
SECRETARY
2056 HWY 7 SOUTH
DEMA KY 41859

Officer/Director/Trustee Three

ROBERT COOK
BOARD MEMBER
157 TRIPLE LANE
TOPMOST KY 41862

Officer/Director/Trustee Four

JIMMY HUMPHERY
CHAIRMAN
299 MITCHELL HALL LANE
DEMA KY 41859

Officer/Director/Trustee Five

CALVIN WADDLES
CO-CHAIR
5125 S HWY 7
TOPMOST KY 41862

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/1975
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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