| Field | Data |
|---|---|
| EIN | 85-0885262 |
| Case Number | EO-2020318-000211 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIVONIA AMBULANCE SQUAD INC |
| Organization’s Mailing Address | PO BOX 8 |
| City | LIVONIA |
| State | NY |
| ZIP | 14487-0008 |
| Accounting period End | 12 |
| Primary contact name | ROGER VANDERBROOK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LARRY EBERSOLD
DIRECTOR OF OPERATIONS
23 SPRING STREET
LIVONIA NY 14487
JON MOHNKERN
DEPUTY DIRECTOR OF OPERATIONS
6551 FLORENCE LANE
LIVONIA NY 14487
PATRICIA SPARKS
ADVANCED LIFE SUPPORT CHIEF
6343 DECKER ROAD
LIVONIA NY 14487
ROGER VANDERBROOK
TREASURER
5299 BACKUS ROAD
LIVONIA NY 14487
ANDREA ALLEN
TRUSTEE
23 BIG TREE STREET- UPPER APT
LIVONIA NY 14487
| Organization’s website | HTTPS://WWW.LIVONIAEMA.ORG/INDEX.HTML |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/30/2020 |
| 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 | 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 | ROGER VANDERBROOK |
| Signature Title | TREASURER |
| Signature Date | 11/10/2020 |
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