FORM 1023-EZ for AIR RESPONSE FOUNDATION

Field Data
EIN 30-0853780
Case Number EO-2016154-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AIR RESPONSE FOUNDATION
Organization’s Mailing Address 5526 W 1300 S SUITE 207
City HERRIMAN
State UT
ZIP 84096
Accounting period End 12
Primary contact name CORY ROBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORY ROBIN
PRESIDENT AND VICE PRESIDENT
5526 W 13400 S STE 207
HERRIMAN UT 84096

Officer/Director/Trustee Two

HEATHER REIMANN
SECRETARY AND TREASURER
5526 W 13400 S STE 207
HERRIMAN UT 84096

Organization’s website WWW.AIRRESPONSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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