FORM 1023-EZ for MARSHALL COUNTY EMERGENCY MEDICAL SERVICES ASSOCIATION

Field Data
EIN 83-4053274
Case Number EO-2019086-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARSHALL COUNTY EMERGENCY MEDICAL SERVICES ASSOCIATION
Organization’s Mailing Address 2369 JESSUP AVENUE FLOOR 3
City MARSHALLTOWN
State IA
ZIP 50158
Accounting period End 12
Primary contact name KIMBERLY ELDER TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY ELDER
TREASURER
2369 JESSUP AVENUE FLOOR 3
MARSHALLTOWN IA 50158

Officer/Director/Trustee Two

PHILLIP SUMMERS
PRESIDENT
105 SOUTH HIGH
GILMAN IA 50106

Officer/Director/Trustee Three

MELISSA MAUSETH
VICE PRESIDENT
3130 MAIN STREET ROAD
MARSHALLTOWN IA 50158

Organization’s website
Organization’s email KELDER@MARSHALLCOUNTYIA.GOV
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/80
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 KIMBERLY ELDER
Signature Title TREASURER
Signature Date 3/25/19

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