FORM 1023-EZ for EMERGENCY INCIDENT SUPPORT

Field Data
EIN 84-1772117
Case Number EO-2019140-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERGENCY INCIDENT SUPPORT
Organization’s Mailing Address 15000 SUN HILLS DRIVE
City COLORADO SPRINGS
State CO
ZIP 80921
Accounting period End 12
Primary contact name GARY NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER LANCE
PRESIDENT
17715 MINGLEWOOD TRAIL
MONUMENT CO 80132

Officer/Director/Trustee Two

GARY NELSON
TREASURER
13838 PARADISE VILLAS GROVE
COLORADO SPRINGS CO 80921

Officer/Director/Trustee Three

GEORGE STEINFELD
SECRETARY
7397 MAYBECK VIEW
COLORADO SPRINGS CO 80731-4741

Organization’s website
Organization’s email LANCERR72@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 GARY NELSON
Signature Title TREASURER
Signature Date 5/17/19

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