FORM 1023-EZ for SIOUX VALLEY HOSPITAL ALUMNI ASSOCIATION

Field Data
EIN 46-6040873
Case Number EO-2015251-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIOUX VALLEY HOSPITAL ALUMNI ASSOCIATION
Organization’s Mailing Address 1305 W 18TH ST PO BOX 5039
City SIOUX FALLS
State SD
ZIP 57117-5039
Accounting period End 12
Primary contact name JUDY GREER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDY GREER
PRESIDENT
204 N SYCAMORE AVE
SIOUX FALLS SD 57110-1231

Officer/Director/Trustee Two

LOIS JONES
SECRETARY
4506 E 49TH ST
SIOUX FALLS SD 57110-4324

Officer/Director/Trustee Three

MOLLY UDEN
TREASURER
3423 S GOLDENROD LN
SIOUX FALLS SD 57110-4416

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/1973
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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