FORM 1023-EZ for WHITE COUNTY SAMARITANS

Field Data
EIN 84-2352709
Case Number EO-2019193-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE COUNTY SAMARITANS
Organization’s Mailing Address 2100 HIGHWAY 16
City SEARCY
State AR
ZIP 72143
Accounting period End 12
Primary contact name STEPHANIE SHEPPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY PRICE
PRESIDENT
902 GEORGIA RIDGE RD
SEARCY AR 72143

Officer/Director/Trustee Two

CASSONDRA JONES
VICE PRESIDENT
PO BOX 1654
SEARCY AR 72143

Officer/Director/Trustee Three

STEPHANIE SHEPPARD
SEC./TREAS.
1643 LETONA RD
SEARCY AR 72143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHANIE SHEPPARD
Signature Title SEC./TREAS.
Signature Date 7/10/19

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