| Field | Data |
|---|---|
| EIN | 43-1789655 |
| Case Number | EO-2015068-000999 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PETTIS COUNTY HEALTH CENTER FRIENDSINC |
| Organization’s Mailing Address | 911 E 16TH STREET |
| City | SEDALIA |
| State | MO |
| ZIP | 65301-7733 |
| Accounting period End | 12 |
| Primary contact name | JOANN MARTIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
THOMAS KEMPTON
PRESIDENT
6140 CHESTNUT DRIVE
SEDALIA MO 65301
PATRICIA PERKINS
VICE-PRESIDENT
2306 W FIRST STREET
SEDALIA MO 65301
PHYLLIS DOMANN
TREASURER
1410 TIMBER RIDGE DRIVE
SEDALIA MO 65301
VICKI SENA
SECRETARY
27219 FLORENCE ROAD
SMITHTON MO 65350
JOANN MARTIN
DIRECTOR
30192 HIGHWAY M
SEDALIA MO 65301-0963
| Organization’s website | NONE |
|---|---|
| Organization’s email | PETTISCOUNTYHEALTHCENTERFRIEND@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/27/1996 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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