FORM 1023-EZ for ANDOVER VOLUNTEER AMBULANCE CORPS INC
| Field | Data |
|---|---|
| EIN | 46-3246502 |
| Case Number | EO-2016260-000200 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ANDOVER VOLUNTEER AMBULANCE CORPS INC |
| Organization’s Mailing Address | PO BOX 726 |
| City | ANDOVER |
| State | NY |
| ZIP | 14806 |
| Accounting period End | 3 |
| Primary contact name | THOMAS KENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS KENT
PRESIDENT
1764 JONES ROAD
ANDOVER NY 14806-9741
Officer/Director/Trustee Two
KENNETH GRAY
VICE PRESIDENT
PO BOX 72
ALFRED STATION NY 14803
Officer/Director/Trustee Three
MICHELLE MILLER
TREASURER
836 ST RTE 417
ANDOVER NY 14806
Officer/Director/Trustee Four
KATHLEEN KENT
SECRETARY
1764 JONES ROAD
ANDOVER NY 14806-9741
Officer/Director/Trustee Five
JAMES RUMFELT
EMS CHIEF
6 FIRST STREET
ANDOVER NY 14806
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/2/2013 |
| Organization Incorporation State | NY |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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