FORM 1023-EZ for MINI-CASSIA SUICIDE PREVENTION AWARENESS & SUPPORT CORPORATION

Field Data
EIN 83-3433240
Case Number EO-2019039-000737
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINI-CASSIA SUICIDE PREVENTION AWARENESS & SUPPORT CORPORATION
Organization’s Mailing Address PO BOX 464
City HEYBURN
State ID
ZIP 83336
Accounting period End 12
Primary contact name GAIL GALLEGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE HODGES
PRESIDENT
1016 OAKWOOD
BURLEY ID 83318

Officer/Director/Trustee Two

DIXIE TATE
VICE-PRESIDENT
614 7TH STREET
RUPERT ID 83350

Officer/Director/Trustee Three

KIM BEDKE
VICE-PRESIDENT
1701 S HWY 27
OAKLEY ID 83346

Officer/Director/Trustee Four

CHARLES DRISCOLL
VICE-PRESIDENT
557 S 150 E
BURLEY ID 83318

Officer/Director/Trustee Five

GAIL GALLEGOS
SECRETARY/TRESURER
PO BOX 478
HEYBURN ID 83336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/19
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
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 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 GAIL GALLEGOS
Signature Title SECRETARY/TRESURER
Signature Date 2/5/19

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