FORM 1023-EZ for REGION II EMERGENCY MEDICAL SAERVICE

Field Data
EIN 46-3698443
Case Number EO-2017081-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REGION II EMERGENCY MEDICAL SAERVICE
Organization’s Mailing Address PO BOX 75
City GATLINBURG
State TN
ZIP 37738
Accounting period End 12
Primary contact name ANDREW REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW REED
TREASURER
211 MULBERRY AVE
MAYNARDVILLE TN 37807

Officer/Director/Trustee Two

RICK VALENTINE
PRESIDENT
718 MIDDLE CREEK RD
SEVIERVILLE TN 37862

Officer/Director/Trustee Three

BRAD PHILLIPS
VICE PRESIDENT
581 WEST OLD AJ HWY
JEFFERSON CITY TN 37760

Organization’s website R2EMS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2013
Organization Incorporation State TN
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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