FORM 1023-EZ for SMOKY VALLEY VOLUNTEER AMBULANCE ASSOCIATION INCORPORATED

Field Data
EIN 83-3903042
Case Number EO-2019130-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMOKY VALLEY VOLUNTEER AMBULANCE ASSOCIATION INCORPORATED
Organization’s Mailing Address 130 SMOKY VALLEY BLVD -1902
City ROUND MOUNTAI
State NV
ZIP 89045-1902
Accounting period End 12
Primary contact name TIMOTHY GAMBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY GAMBLE
PRESIDENT
2 DIXIE CT PO BOX 1737
ROUND MOUNTAIN NV 89045

Officer/Director/Trustee Two

ASHLEY SUTHERLAND
TREASURER
72 MARIPOSA
ROUND MOUNTAIN NV 89045

Officer/Director/Trustee Three

TEAH COURT
SECRETARY
22 PROSPECT AVE BOX 1695
ROUND MOUNTAIN NV 89045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief 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 Yes
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 Yes
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 TIMOTHY GAMBLE
Signature Title PRESIDENT
Signature Date 5/8/19

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