FORM 1023-EZ for CIVILIAN DISASTER RESPONSE ORGANIZATION

Field Data
EIN 83-2345166
Case Number EO-2019114-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIVILIAN DISASTER RESPONSE ORGANIZATION
Organization’s Mailing Address PO BOX 1534
City LEICESTER
State NC
ZIP 28748
Accounting period End 12
Primary contact name AMBER MONAGHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVONNE LUDLUM COBOURN
PRESIDENT
104 ADAMS HILL RD
ASHEVILLE NC 28806

Officer/Director/Trustee Two

STEPHEN HUNTER JONES
VICE PRESIDENT
3045 BIG JIM RD
ROCKY MOUNT NC 27804

Officer/Director/Trustee Three

JOHN GALLAGHER
TREASURER
3981 SPINNAKER PLACE
DENVER NC 28037

Officer/Director/Trustee Four

AMBER MONAGHAN
SECRETARY
12126 TRAWELL RD
DALE TX 78616

Organization’s website
Organization’s email CIVILIANDISASTERRESPONSEORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/19
Organization Incorporation State NC
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: 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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 AMBER MONAGHAN
Signature Title SECRETARY
Signature Date 4/22/19

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