FORM 1023-EZ for DENVER AMBULANCE SERVICE

Field Data
EIN 90-0793880
Case Number EO-2017237-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DENVER AMBULANCE SERVICE
Organization’s Mailing Address 230 TRANSIT ST
City DENVER
State IA
ZIP 50622
Accounting period End 6
Primary contact name TERESA DIERCKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA DIERCKS
OFFICE MANAGER
630 SUNRISE ST
DENVER IA 50622

Officer/Director/Trustee Two

DEREK MILLER
CREW CHIEF
641 E FAYETTE ST
DENVER IA 50622

Officer/Director/Trustee Three

ANDREW HOSTELKA
MAINTENANCE
720 LONGVIEW
DENVER IA 50622

Organization’s website
Organization’s email DENVERAMBULANCE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1976
Organization Incorporation State IA
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: 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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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