FORM 1023-EZ for EMERGENCY MEDICAL AND FIRST RESPONDER OUTREACH AND SUPPORT TEAM

Field Data
EIN 85-3072460
Case Number EO-2021075-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERGENCY MEDICAL AND FIRST RESPONDER OUTREACH AND SUPPORT TEAM
Organization’s Mailing Address 204 EUNICE AVE
City PARCHMENT
State MI
ZIP 49004
Accounting period End 12
Primary contact name RYAN D MEJEUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN MEJEUR
PRESIDENT
204 EUNICE AVE
PARCHMENT MI 49004

Officer/Director/Trustee Two

ERIC OVERHOLSER
VICE PRESIDENT
2616 N SAINT ANTHONY RD
JACKSON MI 49203

Officer/Director/Trustee Three

KATE TANNER
SECRETARY / TREASURER
3404 RANDOM RD
KALAMAZOO MI 49004

Officer/Director/Trustee Four

LESA KREPS
DIRECTOR
1756 WALKER AVE NW
GRAND RAPIDS MI 49504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 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 RYAN MEJEUR
Signature Title PRESIDENT
Signature Date 1/17/2021

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