FORM 1023-EZ for MAGIC VALLEY PUBLIC SAFETY GRANT COMMISSION INC

Field Data
EIN 81-2719365
Case Number EO-2016159-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAGIC VALLEY PUBLIC SAFETY GRANT COMMISSION INC
Organization’s Mailing Address 320 MAIN AVE NORTH
City TWIN FALLS
State ID
ZIP 83301-8106
Accounting period End 12
Primary contact name PENELOPE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DON HALL
DIRECTOR
366 BUCHANAN STREET
TWIN FALLS ID 83301-8106

Officer/Director/Trustee Two

PENELOPE PARKER
DIRECTOR
320 MAIN AVE NORTH
TWIN FALLS ID 83301-8106

Officer/Director/Trustee Three

JIM MUNN
DIRECTOR
2368 EASTBROOKE
TWIN FALLS ID 83301-8106

Officer/Director/Trustee Four

LELAND DEVORE
DIRECTOR
4128 MEADOW RIDGE CIRCLE
TWIN FALLS ID 83301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund 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 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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