FORM 1023-EZ for JACKSON COUNTY SHERIFFS AUXILIARY LODGE

Field Data
EIN 34-1458002
Case Number EO-2016102-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON COUNTY SHERIFFS AUXILIARY LODGE
Organization’s Mailing Address 350 PORTSMOUTH ST
City JACKSON
State OH
ZIP 45640
Accounting period End 12
Primary contact name DAVID R DILLEY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON ALDRICH
PRESIDENT
314 PEARL ST
JACKSON OH 45640

Officer/Director/Trustee Two

FLOYD RISTER
VICE PRESIDENT
2565 PATTONVILLE RD
JACKSON OH 45640

Officer/Director/Trustee Three

RICHARD LUSK
SECRETARY/TREASURER
6003 RIEGEL RIDGE RD
OAK HILL OH 45656

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/1977
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I99 - Crime, Legal Related N.E.C.
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 Yes
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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