FORM 1023-EZ for SANDY RIDGE VOLUNTEER RESCUE SQUADINC

Field Data
EIN 62-1467694
Case Number EO-2014356-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANDY RIDGE VOLUNTEER RESCUE SQUADINC
Organization’s Mailing Address 109 CARICO RDG
City COEBURN
State VA
ZIP 24230-6418
Accounting period End 6
Primary contact name MATT SLEMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATT SLEMP
CAPTAIN
12953 RIVER LN
COEBURN VA 24230

Officer/Director/Trustee Two

BRIAN CASSELL
PRESIDENT
2630 GB SHORTT ST
CASTLEWOOD VA 24224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/1996
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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