FORM 1023-EZ for SWEA CITY EMS ASSOCIATION

Field Data
EIN 81-5214941
Case Number EO-2017088-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SWEA CITY EMS ASSOCIATION
Organization’s Mailing Address 308 4TH AVE W
City SWEA CITY
State IA
ZIP 50590
Accounting period End 6
Primary contact name PHILIP ALBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP ALBERS
PRESIDENT
308 4TH AVE W
SWEA CITY IA 50590

Officer/Director/Trustee Two

CHRISTOPHER STEVENS
VICEPRESIDENT
206 6TH AVE W
SWEA CITY IA 50590

Officer/Director/Trustee Three

MATTHEW LOOFT
TREASURER
4304 70TH AVE
SWEA CITY IA 50590

Officer/Director/Trustee Four

JILL BOLLINGER
SECRETARY
407 3RD AVE W
SWEA CITY IA 50590

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2017
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: 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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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