FORM 1023-EZ for SAM-SAVING ARMED FORCE MEMBERS

Field Data
EIN 82-2502553
Case Number EO-2018268-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAM-SAVING ARMED FORCE MEMBERS
Organization’s Mailing Address PO BOX 2562
City PLATTE CITY
State MO
ZIP 64079
Accounting period End 9
Primary contact name ANTIWAN HENING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTIWAN HENNING
CEO
221 MARSHALL RD I4
PLATTE CITY MO 64079

Officer/Director/Trustee Two

VIRGINIA GUZMAN
EXECUTIVE DIRECTOR
221 MARSHALL RD I4
PLATTE CITY IL 64079

Officer/Director/Trustee Three

ESTER HENNING
ADMINISTRATIVE DIRECTOR
22647 SPENCER AVE
SAUK VILLAGE IL 60411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
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 ANTIWAN HENNING
Signature Title CEO
Signature Date 9/23/18

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