FORM 1023-EZ for CHOCTAW COUNTY RESCUE SQUAD INC

Field Data
EIN 63-1048829
Case Number EO-2021147-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOCTAW COUNTY RESCUE SQUAD INC
Organization’s Mailing Address 23761 HWY 10 EAST - PO BOX 276
City BUTLER
State AL
ZIP 36904
Accounting period End 12
Primary contact name AL NIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AL NIX
COMMANDER
246 LUSK RD
GILBERTOWN AL 36908

Officer/Director/Trustee Two

KELLEY BRIGGS
ASSIS
190 WISDOM ROAD
GILBERTOWN AL 36908

Officer/Director/Trustee Three

ROSIELENE WEAVER
TREASURER
192 WATERMARK ROAD
BUTLER AL 36904

Officer/Director/Trustee Four

BECKY CROSBY
SECRETARY
19 LANCE TODD DR
BUTLER AL 36904

Officer/Director/Trustee Five

SHAY WELLS
MAINTENANCE OFFICER
41 RATTLESNAKE RD
TOXEY AL 36921

Organization’s website
Organization’s email CHOCTAWRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/1973
Organization Incorporation State AL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AL NIX
Signature Title COMMANDER
Signature Date 5/25/2021

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