FORM 1023-EZ for MENDOCINO COAST AMBULANCE SUPPORT INC

Field Data
EIN 20-3769731
Case Number EO-2015296-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENDOCINO COAST AMBULANCE SUPPORT INC
Organization’s Mailing Address 700 RIVER DRIVE
City FORT BRAGG
State CA
ZIP 95347
Accounting period End 12
Primary contact name RICHARD JUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD JUNG
PRESIDENT
43970 LITTLE LAKE ROAD
MENDOCINO CA 95460

Officer/Director/Trustee Two

RACHEL MILLER
TREASURER
131 A BOATYARD DRIVE
FORT BRAGG CA 95437

Officer/Director/Trustee Three

MORGAN DANIEL
OFFICER
700 RIVER DRIVE
FORT BRAGG CA 95437

Officer/Director/Trustee Four

JOHN KERMEN
OFFICER
PO BOX 2658
FORT BRAGG CA 95437

Officer/Director/Trustee Five

BEN MEYER
VICE PRESIDENT
PO BOX 2658
FORT BRAGG CA 95437

Organization’s website WWW.MENDOCINOCOASTAMBULANCE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2005
Organization Incorporation State CA
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 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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