FORM 1023-EZ for EMS PROVIDERS OF PALM BEACH COUNTYINC

Field Data
EIN 47-3600485
Case Number EO-2015126-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMS PROVIDERS OF PALM BEACH COUNTYINC
Organization’s Mailing Address 20 SOUTH MILITARY TRAIL
City WEST PALM BEACH
State FL
ZIP 33415
Accounting period End 12
Primary contact name HENRY MUNNILAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS MCCARTHY
PRESIDENT
600 WEST BLUE HERON BLVD
RIVERIA BEACH FL 33404

Officer/Director/Trustee Two

MARK PURE
VICE PRESIDENT
2995 JOG ROAD
LAKE WORTH FL 33463

Officer/Director/Trustee Three

MICHAEL LANDRESS
SECRETARY
1280 HIGH RIDGE ROAD
BOYNTON BEACH FL 33426

Officer/Director/Trustee Four

ANDREW LEZZA
TREASURER
560 US HIGHWAY 1
NORTH PALM BEACH FL 33408

Organization’s website
Organization’s email HMUNNILAL@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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