FORM 1023-EZ for BAY AREA MEDICAL SERVICES

Field Data
EIN 47-1031782
Case Number EO-2017265-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAY AREA MEDICAL SERVICES
Organization’s Mailing Address 1 MEADOWBROOK CT
City NOVATO
State CA
ZIP 94947
Accounting period End 6
Primary contact name KEVIN HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN HALL
CEO/CFO
1 MEADOWBROOK CT
NOVATO CA 94947

Officer/Director/Trustee Two

JUANITA HILL
SECRETARY
PO BOX 292
NOVATO CA 94948

Organization’s website WWW.BAYAREAMEDICALSERVICES.COM
Organization’s email KHALL@BAYAREAMEDICALSERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, 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
EIN 47-1031782
Case Number EO-2014262-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAY AREA MEDICAL SERVICES
Organization’s Mailing Address 1 MEADOWBROOK CT
City NOVATO
State CA
ZIP 94947
Accounting period End 6
Primary contact name KEVIN HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN HALL
PRESIDENT
1 MEADOWBROOK CT
NOVATO CA 94947

Officer/Director/Trustee Two

JAMES H C WONG
VICE PRESIDENT
1447 20TH AVE APT A
SAN FRANCISCO CA 94122

Officer/Director/Trustee Three

JUANITA HILL
SECRETARY
1545 BUCKEYE COURT
PINOLE CA 94564

Officer/Director/Trustee Four

RICHARD J OBRIEN
TREASURER
136 ACORN DRIVE
PETALUMA CA 94952

Officer/Director/Trustee Five

BOB DOURANDISH
DONATIONS OFFICER
P O BOX 1476
SAN MATEO CA 94401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
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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