FORM 1023-EZ for MILLER FIRST RESPONDERS

Field Data
EIN 86-1690758
Case Number EO-2021090-000756
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLER FIRST RESPONDERS
Organization’s Mailing Address 12688 LAWRENCE 2050
City MILLER
State MO
ZIP 65707
Accounting period End 12
Primary contact name JAMES SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE JONES
PRESIDENT
425 LAWRENCE 1140
SOUTH GREENFIELD MO 65752

Officer/Director/Trustee Two

LISA MATTHEWS
VICE-PRESIDENT
12683 LAWRENCE 2022
MILLER MO 65707

Officer/Director/Trustee Three

JAMES SMITH
SECRETARY
12688 LAWRENCE 2050
MILLER MO 65707

Officer/Director/Trustee Four

SID SMITH
TREASURER
12688 LAWRENCE 2050
MILLER MO 65707

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State MO
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JAMES SMITH
Signature Title SECRETARY
Signature Date 2/18/2021

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