FORM 1023-EZ for THE MONTGOMERY COUNTY AMBULANCE ADMINISTRATORS GROUP INC

Field Data
EIN 47-3690460
Case Number EO-2015105-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MONTGOMERY COUNTY AMBULANCE ADMINISTRATORS GROUP INC
Organization’s Mailing Address 9 RYERS DRIVE
City CHELTENHAM
State PA
ZIP 19012
Accounting period End 12
Primary contact name TIM HINCHCLIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY HINCHCLIFF
PRESIDENT
830 BLEIGH STREET
PHILADELPHIA PA 19111

Officer/Director/Trustee Two

KENNETH HELLENDALL
VICE PRESIDENT
9 RYERS AVE
CHELTENHAM PA 19012

Officer/Director/Trustee Three

JOHN HELENIAK
SECRETARY/TREASURER
175 MEDICAL CAMPUS DRIVE
LANSDALE PA 19446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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
Signature Title
Signature Date

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