FORM 1023-EZ for WILTON LYNDEBOROUGH TEMPLE AMBULANCE ASSOCIATION
| Field | Data |
|---|---|
| EIN | 81-1805515 |
| Case Number | EO-2016076-000252 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WILTON LYNDEBOROUGH TEMPLE AMBULANCE ASSOCIATION |
| Organization’s Mailing Address | 404 FOREST RD |
| City | WILTON |
| State | NH |
| ZIP | 03086 |
| Accounting period End | 12 |
| Primary contact name | DAVID GILL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
DAN DONOVAN
CHAIRMAN
307 MARDEN RD
WILTON NH 03086
Officer/Director/Trustee Two
DAVID GILL
BOARD MEMBER
552 MOUNTAIN RD
LYNDEBOROUGH NH 03082
Officer/Director/Trustee Three
MICKEY LEAVITT
BOARD MEMBER
1579 CENTER RD
LYNDEBOROUGH NH 03082
Officer/Director/Trustee Four
PAUL JORDAN
TREASURE
149 COLBURN RD
TEMPLE NH 03084
Officer/Director/Trustee Five
BILL CONDRA
VICE CHAIRMAN
61 BURNS HILL RD
WILTON NH 03086
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/30/2005 |
| Organization Incorporation State | NH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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