FORM 1023-EZ for 4 EMS AMMO ASSOCIATION

Field Data
EIN 83-2227020
Case Number EO-2018298-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4 EMS AMMO ASSOCIATION
Organization’s Mailing Address 1055 WEAPONS LN
City SJAFB
State NC
ZIP 27531-2139
Accounting period End 9
Primary contact name GERVYS OLIMPO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DUSTON
PRESIDENT
1055 WEAPONS LN
SJAFB NC 27531-2139

Officer/Director/Trustee Two

ZACHARY JONES
VICE PRESIDENT
1055 WEAPONS LN
SJAFB NC 27531-2139

Officer/Director/Trustee Three

KATELIN HARDY
SECRETARY
1055 WEAPONS LN
SJAFB NC 27531-2139

Officer/Director/Trustee Four

GERVYS OLIMPO
TREASURER
1055 WEAPONS LN
SJAFB NC 27531-2139

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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 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 GERVYS OLIMPO
Signature Title TREASURER
Signature Date 10/23/18

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