FORM 1023-EZ for SEMINOLE EMERGENCY MEDICAL TECHNICIAN VOLUNTEER ASSOCIATION

Field Data
EIN 35-2615698
Case Number EO-2019289-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEMINOLE EMERGENCY MEDICAL TECHNICIAN VOLUNTEER ASSOCIATION
Organization’s Mailing Address 205 NW 8TH STREET
City SEMINOLE
State TX
ZIP 79360
Accounting period End 12
Primary contact name TWILA CAFFEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TWILA CAFFEY
PRESIDENT, DIRECTOR
PO BOX 127
SEMINOLE TX 79360

Officer/Director/Trustee Two

ERIKA NAVARRO
SECRETARY/TREASURER, DIRECTOR
1001 NW AVE I
SEMINOLE TX 79360

Officer/Director/Trustee Three

RANDY FRIESEN
VICE PRESIDENT, DIRECTOR
900 SW AVE K
SEMINOLE TX 79360

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 TWILA CAFFEY
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/14/19

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