FORM 1023-EZ for ST JAMES AMBULANCE ASSOCIATION
| Field | Data |
|---|---|
| EIN | 83-3078722 |
| Case Number | EO-2019036-000721 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ST JAMES AMBULANCE ASSOCIATION |
| Organization’s Mailing Address | 203 SOUTH LOUISE |
| City | ST JAMES |
| State | MO |
| ZIP | 65559 |
| Accounting period End | 12 |
| Primary contact name | BRYAN LAMBETH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TEX RABENAU
PRESIDENT
21500 STATE RT NN
COOK STATION MO 65449
Officer/Director/Trustee Two
BRYAN LAMBETH
TREASURER
340 ST FRANCIS
ST JAMES MO 65559
Officer/Director/Trustee Three
TAMMY YAMNITZ
SECRETARY
16460 STATE RT H
ST JAMES MO 65559
Officer/Director/Trustee Four
JENNIFER PARRETT
DIRECTOR
250 HERITAGE DR
STELVILLE MO 65565
Officer/Director/Trustee Five
JOSH COHEN
DIRECTOR
18440 STATE RT BB
ST JAMES MO 65559
| Organization’s website | |
|---|---|
| Organization’s email | STJAMBULANCE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/3/18 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRYAN LAMBETH |
| Signature Title | TREASURER |
| Signature Date | 1/21/19 |
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