FORM 1023-EZ for PLAINVIEW AREA HEALTH SYSTEM FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-0905227 |
| Case Number | EO-2015320-000245 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PLAINVIEW AREA HEALTH SYSTEM FOUNDATION |
| Organization’s Mailing Address | 704 N 3RD ST PO BOX 489 |
| City | PLAINVIEW |
| State | NE |
| ZIP | 68769 |
| Accounting period End | 12 |
| Primary contact name | BRUCE CURTISS CURTISS LAW OFFICE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MIKE NAPRSTEK
PRESIDENT
206 S PINE ST PO BOX 622
PLAINVIEW NE 68769
Officer/Director/Trustee Two
MARY SCRANTON
VICE PRESIDENT
209 N 9TH ST
PLAINVIEW NE 68769
Officer/Director/Trustee Three
DIANNE FRIEDRICH
SECRETARY
86805 536 AVE
PLAINVIEW NE 68769
Officer/Director/Trustee Four
DIANE BLAIR
TREASURER
86616 527 AVE
BRUNSWICK NE 68720
Officer/Director/Trustee Five
MARILYN PARMENTER
DIRECTOR
403 N 3RD ST
PLAINVIEW NE 68769
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/3/2012 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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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