FORM 1023-EZ for REGION V NE KANSAS EMS INC
| Field | Data |
|---|---|
| EIN | 84-3587772 |
| Case Number | EO-2019311-000144 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REGION V NE KANSAS EMS INC |
| Organization’s Mailing Address | 1350 SW HODGES RD |
| City | TOPEKA |
| State | KS |
| ZIP | 66615 |
| Accounting period End | 6 |
| Primary contact name | MARY E NAPIER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARY NAPIER
FINANCIAL ASSISTANT
1350 SW HODGES RD
TOPEKA KS 66615
Officer/Director/Trustee Two
JOHN HARVEY
PRESIDENT
627 N CREST
RAYMORE MO 64083
Officer/Director/Trustee Three
DAVID ADAMS
VICE PRESIDENT
105 QUAIL ST
SAINT GEORGE KS 66535
Officer/Director/Trustee Four
DONNA CONNELL
SECRETARY TREASURER
1106 LAING LOT 16
OSAGE CITY KS 66523
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/5/19 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Y03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | 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 | MARY NAPIER |
| Signature Title | FINANCIAL ASSISTANT |
| Signature Date | 11/5/19 |
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