FORM 1023-EZ for VALLE AMBULANCE EMS EMPLOYEE ASSOCIATION

Field Data
EIN 46-3566457
Case Number EO-2018025-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLE AMBULANCE EMS EMPLOYEE ASSOCIATION
Organization’s Mailing Address 12363 STATE ROUTE 21
City DE SOTO
State MO
ZIP 63020
Accounting period End 12
Primary contact name NIKKI WHALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL STANLEY
PRESIDENT
12636 STATE ROUTE 21
DE SOTO MO 63020

Officer/Director/Trustee Two

JAMES PARMELEY
VICE PRESIDENT
12363 STATE ROUTE 21
DE SOTO MO 63020

Officer/Director/Trustee Three

TANA HARRISON
SECRETARY
12363 STATE ROUTE 21
DE SOTO MO 63020

Officer/Director/Trustee Four

NIKKI WHALEY
TREASURER
12363 STATE ROUTE 21
DE SOTO MO 63020

Officer/Director/Trustee Five

JOESEPH WILLIAMS
SERGEANT OF ARMS
12636 STATE ROUTE 21
DE SOTO MO 63020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 NIKKI WHALEY
Signature Title TREASURER
Signature Date 1/23/18

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