FORM 1023-EZ for WARREN COUNTY EMERGENCY MEDICAL SERVICES COUNCIL INC

Field Data
EIN 61-1608067
Case Number EO-2017248-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARREN COUNTY EMERGENCY MEDICAL SERVICES COUNCIL INC
Organization’s Mailing Address 100 DILLON DRIVE
City YOUNGSVILLE
State PA
ZIP 16371
Accounting period End 12
Primary contact name REBECCA L MCMILLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA MCMILLEN
PRESIDENT
100 DILLON DRIVE
YOUNGSVILLE PA 16371

Officer/Director/Trustee Two

RICHARD BARRETT
SECRETARY TREASURER
100 DILLON DRIVE
YOUNGSVILLE PA 16371

Officer/Director/Trustee Three

ROBERT MCCLELLAND
PAST PRESIDENT
100 DILLON DRIVE
YOUNGSVILLE PA 16371

Officer/Director/Trustee Four

WANDA SMITH
ADMINISTRATION
100 DILLON DRIVE
YOUNGSVILLE PA 16371

Officer/Director/Trustee Five

MIKE SIMONIAN
DIRECTOR
100 DILLON DRIVE
YOUNGSVILLE PA 16371

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1976
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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