FORM 1023-EZ for NEWBURY EMS ASSOCIATION

Field Data
EIN 27-1002203
Case Number EO-2021081-001002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEWBURY EMS ASSOCIATION
Organization’s Mailing Address PO BOX 45
City WEST NEWBURY
State VT
ZIP 05085
Accounting period End 12
Primary contact name DANIEL MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MARTIN
PRESIDENT
24 SELDOM SEEN FARM RD
NEWBURY VT 05051

Officer/Director/Trustee Two

STEVE WILLETT
VICE PRESIDENT
PO BOX 56
WEST NEWBURY VT 05085

Officer/Director/Trustee Three

BENJAMIN ILSLEY
TREASURER
2108 SNAKE RD
NEWBURY VT 05051

Officer/Director/Trustee Four

NANCY MARTIN
SECRETARY
24 SELDOM SEEN FARM RD
NEWBURY VT 05051

Organization’s website
Organization’s email NEMSHOS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2009
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 DANIEL MARTIN
Signature Title PRESIDENT
Signature Date 1/27/2021

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