FORM 1023-EZ for AMERICAN DISASTER RECOVERY CORP

Field Data
EIN 82-2615189
Case Number EO-2017248-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN DISASTER RECOVERY CORP
Organization’s Mailing Address 1115 N COUNTRY CLUB DR
City CRYSTAL RIVER
State FL
ZIP 34428
Accounting period End 12
Primary contact name DAVID MITTELSTADT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MITTELSTADT
PRESIDENT
1115 N COUNTRY CLUB DR
CRYSTAL RIVER FL 34429

Officer/Director/Trustee Two

DANIEL MITTELSTADT
CVP
1115 N COUNTRY CLUB DR
CRYSTAL RIVER FL 34429

Officer/Director/Trustee Three

DAVID DIPIETRO
CVP
11320 N ROBLE TERR
CITRUS SPRINGS FL 34434

Officer/Director/Trustee Four

DENNIS MITTELSTADT
CVP
8824 BRADLEY RD
GASPORT NY 14067

Organization’s website
Organization’s email B4UDIVE@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State FL
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 Yes
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 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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