FORM 1023-EZ for CAHOUN EMS INC

Field Data
EIN 82-3885764
Case Number EO-2018180-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAHOUN EMS INC
Organization’s Mailing Address 511 MOLLOHAN DRIVE
City MT ZION
State WV
ZIP 26151
Accounting period End 12
Primary contact name JEFFERY D TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD BLANKENSHIP
PRESIDENT
109 JOHNSON ST
GRANTSVILLE WV 26147

Officer/Director/Trustee Two

BRUCE FITZWATER
VP
2617JOKER ROAD
MT ZION WV 26151

Officer/Director/Trustee Three

JULIE SEARS
SEC TREAS
511 ALLAN MOLLOHAN DRIVE
MT ZION WV 26151

Officer/Director/Trustee Four

MICHAEL HICKS
BOD
2017 DANIELS RUN ROAD
MILLSTONE WV 26251

Officer/Director/Trustee Five

GARY KNIGHT
BOD
234 MILL STREET
GRANTSVILLE WV 26147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RONALD BLANKENSHIP
Signature Title PRESIDENT
Signature Date 6/27/18

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