FORM 1023-EZ for MOUNTAINTOP AMBULANCE SERVICE INC

Field Data
EIN 84-3037012
Case Number EO-2019259-001034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAINTOP AMBULANCE SERVICE INC
Organization’s Mailing Address 12094 ROUTE 23
City ASHLAND
State NY
ZIP 12407
Accounting period End 12
Primary contact name RICHARD TOMPKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD TOMPKINS
PRESIDENT
PO BOX 14
ASHLAND NY 12407

Officer/Director/Trustee Two

CATHY APLIN
VICE PRESIDENT
611 SUTTON HOLLOW ROAD
ASHLAND NY 12407

Officer/Director/Trustee Three

SCOTT TUTTLE
SECRETARY
10910 ROUTE 23
ASHLAND NY 12407

Officer/Director/Trustee Four

JAMES LAWRENCE
TREASURER
PO BOX 447
ASHLAND NY 12407

Officer/Director/Trustee Five

THOMAS SOULE
SECOND VICE PRESIDENT
296 SUTTON HOLLOW ROAD
ASHLAND NY 12407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/19
Organization Incorporation State NY
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 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 RICHARD TOMPKINS
Signature Title PRESIDENT
Signature Date 9/13/19

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