FORM 1023-EZ for EMERGENCY MEDICAL SUPPORT GROUP INC

Field Data
EIN 76-0452944
Case Number EO-2015327-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERGENCY MEDICAL SUPPORT GROUP INC
Organization’s Mailing Address 2010 N FULTON ST
City WHARTON
State TX
ZIP 77488
Accounting period End 9
Primary contact name JOHN KOWALIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN KOWALIK
PRESIDENT
2010 N FULTON STREET
WHARTON TX 77488

Officer/Director/Trustee Two

CHRISTY GONZALES
VICE PRESIDENT
2010 N FULTON ST
WHARTON TX 77488

Officer/Director/Trustee Three

OBIE ATKINS
SEC/TREAS
2010 N FULTON ST
WHARTON TX 77488

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/1994
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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