FORM 1023-EZ for MARTIN COUNTY VOLUNTEER EMS

Field Data
EIN 45-0804497
Case Number EO-2015075-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTIN COUNTY VOLUNTEER EMS
Organization’s Mailing Address 1101 W BROADWAY
City STANTON
State TX
ZIP 79782
Accounting period End 12
Primary contact name JT SPRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY REID
PRESIDENT
PO BOX 818
STANTON TX 79782

Officer/Director/Trustee Two

GINGER TUNNELL
VICE PRESIDENT
3125 FM 829
TANTON TX 79782

Officer/Director/Trustee Three

HEATHER CHRISTON
SECRETARY
PO BOX 1755
STANTON TX 79782

Officer/Director/Trustee Four

STACY HARRIS
TREASURER
PO BOX 1205
STANTON TX 79782

Officer/Director/Trustee Five

J SPRINGER
PARAMEDIC
PO BOX 33
LENORAH TX 79749

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2010
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport Services
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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