FORM 1023-EZ for PAWNEE VALLEY COMMUNITY HOSPITAL AUXILIARY INC
| Field | Data |
|---|---|
| EIN | 47-4903197 |
| Case Number | EO-2015243-000233 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PAWNEE VALLEY COMMUNITY HOSPITAL AUXILIARY INC |
| Organization’s Mailing Address | PO BOX 360 |
| City | LARNED |
| State | KS |
| ZIP | 67550 |
| Accounting period End | 12 |
| Primary contact name | MARY KLINGE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
BARBARA HAMMOND
PRESIDENT
903 TOLES
LARNED KS 67550
Officer/Director/Trustee Two
JANET SKELTON
VICE PRESIDENT
1153 180TH AVE
LARNED KS 67550
Officer/Director/Trustee Three
CONNIE FOX
SECRETARY
PO BOX 437
LARNED KS 67550
Officer/Director/Trustee Four
MERIBETH BUSENBARK
BOARD MEMBER
533 W 4TH STREET
LARNED KS 67550
Officer/Director/Trustee Five
MARY KLINGE
TREASURER
1200 BROADWAY 8
LARNED KS 67550
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/4/2014 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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