FORM 1023-EZ for BURNT RIVER INITIAL ATTACK

Field Data
EIN 81-2751662
Case Number EO-2016196-000569
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNT RIVER INITIAL ATTACK
Organization’s Mailing Address 25501 HWY 245
City HEREFORD
State OR
ZIP 97837
Accounting period End 12
Primary contact name CASSANDRA SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY COLEMAN
CHIEF
31338 WATERGULCH RD
HEREFORD OR 97837

Officer/Director/Trustee Two

NATHANIEL MOORE
UNITY ZONE LEADER
13587 HEREFORD LOOP
HEREFORD OR 97837

Officer/Director/Trustee Three

JACK MILLER
NORTH FORK ZONE LEADER
PO BOX 98
UNITY OR 97837

Officer/Director/Trustee Four

JASON MELO
UPPER HEREFORD ZONE LEADER
1305 WALNUT ST
BAKER CITY OR 97837

Officer/Director/Trustee Five

CASSANDRA SULLIVAN
SECRETARY
25501 HWY 245
HEREFORD OR 97837

Organization’s website
Organization’s email SULLIVANCASSIE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2016
Organization Incorporation State OR
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: 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
Signature Title
Signature Date

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