FORM 1023-EZ for LICKING COUNTY RESCUE TEAM

Field Data
EIN 47-2455731
Case Number EO-2015226-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LICKING COUNTY RESCUE TEAM
Organization’s Mailing Address 193 HEATH RD
City HEATH
State OH
ZIP 43056
Accounting period End 12
Primary contact name JEFFREY M PRIEST CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK HUGGINS
PRESIDENT/TREASURER
193 HEATH RD
HEATH OH 43056

Officer/Director/Trustee Two

JAMES GLOVER
VICE PRESIDENT
193 HEATH RD
HEATH OH 43056

Officer/Director/Trustee Three

JAN FUTRAL
SECRETARY
193 HEATH RD
HEATH OH 43056

Officer/Director/Trustee Four

CASEY CURTIS
TRAINING COORDINATOR
193 HEATH RD
HEATH OH 43056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State OH
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: 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 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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