FORM 1023-EZ for VOLUNTEER OPTOMETRIC SERVICES TO HUMANITY SOUTH DAKOTA CHAPTER INC

Field Data
EIN 36-3756915
Case Number EO-2018241-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VOLUNTEER OPTOMETRIC SERVICES TO HUMANITY SOUTH DAKOTA CHAPTER INC
Organization’s Mailing Address 3920 S WESTERN AVE SUITE 2
City SIOUX FALLS
State SD
ZIP 57105
Accounting period End 12
Primary contact name GREGORY HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY HILL
PRESIDENT
3920 S WESTERN AVE SUITE 2
SIOUX FALLS SD 57105

Officer/Director/Trustee Two

DALLAS WILKINSON
VICE PRESIDENT
3920 S WESTERN AVE SUITE 2
SIOUX FALLS SD 57105

Officer/Director/Trustee Three

JENNIFER NESS
SECRETARY
3920 S WESTERN AVE SUITE 2
SIOUX FALLS SD 57105

Officer/Director/Trustee Four

JENNIFER SIGETTE
TREASURER
3920 S WESTERN AVE SUITE 2
SIOUX FALLS SD 57105

Organization’s website SDVOSH.COM
Organization’s email GREGORY.HILL@AVERA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/90
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 Yes
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 GREGORY HILL
Signature Title PRESIDENT
Signature Date 8/27/18

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