FORM 1023-EZ for ELDORA AREA AMBULANCE FOUNDATION INC

Field Data
EIN 83-2645249
Case Number EO-2018334-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELDORA AREA AMBULANCE FOUNDATION INC
Organization’s Mailing Address 1442 WASHINGTON ST
City ELDORA
State IA
ZIP 50627
Accounting period End 12
Primary contact name RYAN SUTCLIFFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN SUTCLIFFE
PRESIDENT
1442 WASHINGTON ST
ELDORA IA 50627

Officer/Director/Trustee Two

JEFF LATWESEN
VICE-PRESIDENT
1442 WASHINGTON ST
ELDORA IA 50627

Officer/Director/Trustee Three

LAWRENCE SPRINGSTON
SECRETARY
1442 WASHINGTON ST
ELDORA IA 50627

Officer/Director/Trustee Four

DENISE MARTIN
TREASURER
1442 WASHINGTON ST
ELDORA IA 50627

Officer/Director/Trustee Five

OWEN SPENCER
DIRECTOR
1442 WASHINGTON ST
ELDORA IA 50627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 RYAN SUTCLIFFE
Signature Title PRESIDENT
Signature Date 11/28/18

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