| Field | Data |
|---|---|
| EIN | 47-2764105 |
| Case Number | EO-2016070-000354 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KEENE EMERGENCY MEDICAL SERVICES INC |
| Organization’s Mailing Address | 10858 NYS RTE 9N |
| City | KEENE |
| State | NY |
| ZIP | 12942 |
| Accounting period End | 12 |
| Primary contact name | CAROLYN WHITNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JODY WHITNEY
CHIEF EXECUTIVE OFFICER/CHAIRMAN
209 ALSTEAD HILL LANE
KEENE NY 12942
JAMES GIGLINTO
VICE CHAIRMAN
11000 NYS RTE 9N
KEENE NY 12942
CAROLYN WHITNEY
SECRETARY/TREASURER
209 ALSTEAD HILL LANE
KEENE NY 12942
LANCE LECLAIR
OFFICER OF THE BOARD
58 OLD SUGAR WAY
KEENE VALLEY NY 12943
LAURA PARADISE
OFFICER OF THE BOARD
11000 NYS RTE 9N
KEENE NY 12942
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/11/2015 |
| Organization Incorporation State | NY |
| 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 | |
| Signature Title | |
| Signature Date |
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