| Field | Data |
|---|---|
| EIN | 45-0575010 |
| Case Number | EO-2015331-000186 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | EAST LYCOMING AMBULANCE ASSOCIATION |
| Organization’s Mailing Address | 10 SOUTH RAILROAD ST PO BOX 53 |
| City | HUGHESVILLE |
| State | PA |
| ZIP | 17737 |
| Accounting period End | 12 |
| Primary contact name | DANIEL N DORMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DANIEL DORMAN
CHAIRMAN
223 ELECTION HOUSE HILL RD
HUGHESVILLE PA 17737
LUCAS BLAIR
VICE CHAIRMAN
237 WATER STREET
PICTURE ROCKS PA 17762
STACEY GIRVEN
SECRETARY
108 VANDINE ROAD
MUNCY PA 17756
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/21/2007 |
| Organization Incorporation State | PA |
| 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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