FORM 1023-EZ for WYOMING EMERGENCY MEDICAL SERVICESFOUNDATION

Field Data
EIN 85-0619555
Case Number EO-2020230-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WYOMING EMERGENCY MEDICAL SERVICESFOUNDATION
Organization’s Mailing Address 839 CUSTER ST
City CHEYENNE
State WY
ZIP 82009-3314
Accounting period End 6
Primary contact name SHARLA ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE SYPHERD
PRESIDENT
1007 ROBERTSON AVE
WORLAND WY 82401-2720

Officer/Director/Trustee Two

PHILLIP FRANKLIN
VICE PRESIDENT
707 SHERIDAN AVE
CODY WY 82414

Officer/Director/Trustee Three

ERIC QUINNEY
SECRETARY-TREASURER
99 EAST HAYDEN AVE
EVANSTON WY 82930-4850

Officer/Director/Trustee Four

MICHAEL HOTCHKISS
SOUTHEASTERN WY REPRESENTATIVE
209 SOUTH 4TH STREET
LARAMIE WY 82073-3104

Officer/Director/Trustee Five

CHRISTOPHER BELTZ
REGION 1 REPRESENTATIVE
502 STOCKTRAIL AVE
GILLETTE WY 82716-3554

Organization’s website WWW.WYEMSA.ORG
Organization’s email WYEMSA.INFO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2020
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 LUKE SYPHERD
Signature Title PRESIDENT
Signature Date 8/13/2020

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