FORM 1023-EZ for EAGLE ROCK VOLUNTEER FIRE & RESCUEINC

Field Data
EIN 83-2129334
Case Number EO-2018284-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAGLE ROCK VOLUNTEER FIRE & RESCUEINC
Organization’s Mailing Address PO BOX 234
City EAGLE ROCK
State VA
ZIP 24085
Accounting period End 12
Primary contact name CHAD YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS SAVILLE
PRESIDENT
4339 CRAIG CREEK RD
EAGLE ROCK VA 24085

Officer/Director/Trustee Two

GEORGIA KNIGHTON
SECRETARY
4930 CRAIG CREEK RD
EAGLE ROCK VA 24085

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 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 LOUIS SAVILLE
Signature Title PRESIDENT
Signature Date 10/9/18
EIN 83-2129334
Case Number EO-2018284-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAGLE ROCK VOLUNTEER FIRE & RESCUE INC
Organization’s Mailing Address PO BOX 234
City EAGLE ROCK
State VA
ZIP 24085
Accounting period End 12
Primary contact name CHAD YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS SAVILLE
PRESIDENT
4339 CRAIG CREEK RD
EAGLE ROCK VA 24085

Officer/Director/Trustee Two

GEORGIA KNIGHTON
SECRETARY
4930 CRAIG CREEK RD
EAGLE ROCK VA 24085

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 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 LOUIS SAVILLE
Signature Title PRESIDENT
Signature Date 10/9/18

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