FORM 1023-EZ for NORTH COUNTY COMMUNITY EMERGENCY RESPONSE TEAM

Field Data
EIN 45-0560504
Case Number EO-2016116-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH COUNTY COMMUNITY EMERGENCY RESPONSE TEAM
Organization’s Mailing Address 337 EAST MISSION ROAD
City FALLBROOK
State CA
ZIP 92028
Accounting period End 12
Primary contact name MICHAEL J CRAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL CRAIN
PRESIDENT
337 EAST MISSION ROAD
FALLBROOK CA 92028

Officer/Director/Trustee Two

BIGELOW PARKER
VICE PRESIDENT
2341 STAGECOACH LANE
FALLBROOK CA 92028

Officer/Director/Trustee Three

LINDA BANNERMAN
SECRETARY
1536 HILLCREST LANE
FALLBROOK CA 92028

Officer/Director/Trustee Four

CARL SENCENICH
TREASURE
3909 RECHE ROAD 96
FALLBROOK CA 92028

Officer/Director/Trustee Five

DEWEY KNOX
DIRECTOR
1640 OJEDA ROAD
VISTA CA 92084

Organization’s website NORTHCOUNTYCERT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2007
Organization Incorporation State CA
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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