FORM 1023-EZ for CHELAN COUNTY VOLUNTEER SEARCH ANDRESCUE

Field Data
EIN 81-2754996
Case Number EO-2016193-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHELAN COUNTY VOLUNTEER SEARCH ANDRESCUE
Organization’s Mailing Address PO BOX 196
City WENATCHEE
State WA
ZIP 98807
Accounting period End 12
Primary contact name NANCY FIKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY FIKE
PRESIDENT
5186 HINMAN DR
CASHMERE WA 98815

Officer/Director/Trustee Two

MATTHEW KOZMA
VICE PRESIDENT
154 S MEADOWBROOK LN
EAST WENATCHEE WA 98802

Officer/Director/Trustee Three

NANCY FIKE
TREASURER
5186 HINMAN DR
CASHMERE WA 98815

Officer/Director/Trustee Four

LAURA KOZMA
SECRETARY
154 S MEADOWBROOK LN
EAST WENATCHEE WA 98802

Officer/Director/Trustee Five

DEL SCHAUER
TRUSTEE
1106 2ND ST SE
EAST WENATCHEE WA 98802

Organization’s website CCVSAR.ORG
Organization’s email INFO@CCVSAR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2016
Organization Incorporation State WA
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: 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 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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