| Field | Data |
|---|---|
| EIN | 45-5619724 |
| Case Number | EO-2019037-000020 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RAQUETTE LAKE VOLUNTEER AMBULANCE SQUAD INC |
| Organization’s Mailing Address | PO BOX 125 |
| City | RAQUETTE LAKE |
| State | NY |
| ZIP | 13436-125 |
| Accounting period End | 12 |
| Primary contact name | MITCHELL EDELSTEIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MITCHELL EDELSTEIN
PRESIDENT
PO BOX 125
RAQUETTE LAKE NY 13436-125
JAMES DILLON
TREASURER
PO BOX 125
RAQUETTE LAKE NY 13436-125
ARIS BIRD
VICE PRESIDENT
PO BOX 125
RAQUETTE LAKE NY 13436-125
ELIZABETH BECKINGHAM
SECRETARY
PO BOX 125
RAQUETTE LAKE NY 13436-125
BRUCE RISLEY
EMS CATAIN
PO BOX 125
RAQUETTE LAKE NY 13436-125
| Organization’s website | N/A |
|---|---|
| Organization’s email | MITCHEDELSTEIN@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/27/12 |
| 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 | 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 | MITCHELL EDELSTEIN |
| Signature Title | PRESIDENT |
| Signature Date | 1/24/19 |
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