| Field | Data |
|---|---|
| EIN | 47-1038237 |
| Case Number | EO-2015037-000137 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HAMPSHIRE EMERGENCY MEDICAL SERVICES ASSOCIATION INC |
| Organization’s Mailing Address | P O BOX 203 |
| City | SPRINGFIELD |
| State | WV |
| ZIP | 26763 |
| Accounting period End | 3 |
| Primary contact name | DONNA STEWARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DONNA STEWARD
SECRETARY / TREASURER
P O BOX 169 134 WAGONER LANE
SPRINGFIELD WV 26763-0169
ELIZABETH JEFFRIES
PRESIDENT
PO BOX 198
ROMNEY WV 26757-0198
RANDALL BAILEY
TRUSTEE
P O BOX 215
SLANESVILLE WV 25444-0258
DONALD SMITH
TRUSTEE
457 POTOMAC AVENUE
ROMNEY WV 26757-0457
JAMES BLOCKER
VICE-PRESIDENT
66 JAN LU DRIVE
CAPON BRIDGE WV 26711
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/2014 |
| Organization Incorporation State | WV |
| 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: 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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