FORM 1023-EZ for ARKANSAS EMERGENCY MEDICAL SERVICESFOUNDATION

Field Data
EIN 27-0140541
Case Number EO-2018214-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARKANSAS EMERGENCY MEDICAL SERVICESFOUNDATION
Organization’s Mailing Address PO BOX100
City NEWHOPE
State AR
ZIP 71959
Accounting period End 12
Primary contact name CARRIE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE HILL
TREASURER
251 PLEASANT GROVE RD
NEWHOPE AR 71959-70

Officer/Director/Trustee Two

BRENDA STEWART
CHAIRMAN
374 AVON RD
DEQUEEN AR 71832

Officer/Director/Trustee Three

SEDLEY TOMLINSON
VICE CHAIR
1209 DOGWOOD TRAIL
CONWAY AR 72032

Officer/Director/Trustee Four

LAURA GUTHRIE
SECRETARY
220 WILDERNESS RD
CENTER RIDGE AR 72027

Officer/Director/Trustee Five

ELAINE PANNELL
BOARD MEMBER
PANNELL RD
DIERKS AR 71833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/06
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARRIE HILL
Signature Title TREASURER
Signature Date 7/31/18

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