FORM 1023-EZ for STATEN ISLAND EMERGENCY MEDICAL SERVICES FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 46-5386099 |
| Case Number | EO-2021064-001163 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | STATEN ISLAND EMERGENCY MEDICAL SERVICES FOUNDATION INC |
| Organization’s Mailing Address | 550 MANOR RD SUITE 1042 |
| City | STATEN ISLAND |
| State | NY |
| ZIP | 10314 |
| Accounting period End | 12 |
| Primary contact name | STEVEN GUADALUPE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STEVEN GUADALUPE
TREASURER-CFO
393 SIMONSON AVE
STATEN ISLAND NY 10303
Officer/Director/Trustee Two
CHRISTOPHER GUADALUPE
EXECUTIVE DIRECTOR
393 SIMONSON AVE
STATEN ISLAND NY 10303
Officer/Director/Trustee Three
NICHOLAS PORTERA
RECORDING SECRETARY
29 WAGON TRAIL
MAHWAH NJ 07430
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/6/2020 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M20 - Disaster Preparedness and Relief 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 | No |
| Donation of funds | Yes |
| 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 | 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 | STEVEN GUADALUPE |
| Signature Title | TREASURER-CFO |
| Signature Date | 1/10/2021 |
| EIN | 46-5386099 |
| Case Number | EO-2016334-000137 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTH SHORE EMERGENCY RESPONSE TEAM |
| Organization’s Mailing Address | 393 SIMONSON AVE |
| City | STATEN ISLAND |
| State | NY |
| ZIP | 10303-2554 |
| Accounting period End | 12 |
| Primary contact name | STEVEN GUADALUPE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STEVEN GUADALUPE
EXECUTIVE DIRECTOR
393 SIMONSON AVE
STATEN ISLAND NY 10303-2554
Officer/Director/Trustee Two
CHRISTOPHER GUADALUPE
OPERATIONS DIRECTOR
393 SIMONSON AVE
STATEN ISLAND NY 10303-2554
Officer/Director/Trustee Three
WILLIAM QUINN
SAR DIRECTOR
311 SHAROTT AVE
STATEN ISLAND NY 10309
Officer/Director/Trustee Four
ROBERT BUZZARD
LOGISTICS DIRECTOR
345 BEMENT AVENUE
STATEN ISLAND NY 10310
Officer/Director/Trustee Five
KEITH SANTERO
MEDICAL DIRECTOR
40A SATURN LANE
STATEN ISLAND NY 10314
| Organization’s website | WWW.NSERT.ORG |
|---|---|
| Organization’s email | INFO@NSERT.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/12/2014 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M99 - Public Safety, Disaster Preparedness, and Relief N.E.C. |
| 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 | No |
| Donation of funds | Yes |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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