FORM 1023-EZ for INSTITUTE FOR SOCIAL HEALTH

Field Data
EIN 47-2292758
Case Number EO-2016299-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSTITUTE FOR SOCIAL HEALTH
Organization’s Mailing Address 4504 MIDDLETON DRIVE
City JOPLIN
State MO
ZIP 64804
Accounting period End 12
Primary contact name MICHAEL WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE WHITE
CHAIRPERSON
4504 MIDDLETON DR
JOPLIN MO 64804

Officer/Director/Trustee Two

MICHAEL WHITE
TREASURER
4504 MIDDLETON DR
JOPLIN MO 64804

Officer/Director/Trustee Three

PATTY MARTIN
VICE CHAIRPERSON
248 S 40TH ST
GIRARD KS 66743

Officer/Director/Trustee Four

LOREN MARTIN
SECRETARY
248 S 40TH ST
GIRARD KS 66743

Organization’s website SOCIALHEALTHUSA.COM
Organization’s email MWHITE@SOCIALHEALTHUSA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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