FORM 1023-EZ for EMS MD-COLLABORATIVE OF THE CEDAR VALLEY INC
| Field | Data |
|---|---|
| EIN | 85-4077640 |
| Case Number | EO-2021099-001570 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMS MD-COLLABORATIVE OF THE CEDAR VALLEY INC |
| Organization’s Mailing Address | 111 4TH ST NE |
| City | WAVERLY |
| State | IA |
| ZIP | 50677 |
| Accounting period End | 12 |
| Primary contact name | JAMES SCHUTTE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTOPHER HILL
DIRETOR
UNITYPOINT EMERGENCY 1825 LOGAN A
WATERLOO IA 50703
Officer/Director/Trustee Two
WILLIAM FANGMAN
DIRECTOR
UNITYPOINT EMERGENCY 1825 LOGAN A
WATERLOO IA 50703
Officer/Director/Trustee Three
JAMES SCHUTTE
TREASURER
1702 BREMER RD
WAVERLY IA 50677
Officer/Director/Trustee Four
LEE FAGRE
DIRECTOR
MERCYONE 217 20TH ST NW
WAVERLY IA 50677
Officer/Director/Trustee Five
CONNIE JOYLANI
DIRECTOR
WAVERLY HEALTH CENTER 312 9TH ST
WAVERLY IA 50677
| Organization’s website | N/A |
|---|---|
| Organization’s email | EMSMDCCV@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/30/2020 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E02 - Management & Technical Assistance |
| 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 | 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 | JAMES SCHUTTE |
| Signature Title | TREASURER |
| Signature Date | 3/21/2021 |
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