FORM 1023-EZ for SNI VALLEY FIREFIGHTERS HEALTH & WELLNESS ASSOCIATION

Field Data
EIN 84-4341167
Case Number EO-2020021-000580
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SNI VALLEY FIREFIGHTERS HEALTH & WELLNESS ASSOCIATION
Organization’s Mailing Address 1600 S BROADWAY
City OAK GROVE
State MO
ZIP 64075
Accounting period End 12
Primary contact name JON FOLLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY BEAL
PRESIDENT
1600 S BROADWAY
OAK GROVE MO 64075

Officer/Director/Trustee Two

WILLIAM JOHNSTON
VICE-PRESIDENT
1600 S BROADWAY
OAK GROVE MO 64075

Officer/Director/Trustee Three

NATHAN FRY
SECRETARY
1600 S BROADWAY
OAK GROVE MO 64075

Officer/Director/Trustee Four

JOHN FOLLIS
TREASURY
1600 S BROADWAY
OAK GROVE MO 64075

Officer/Director/Trustee Five

JAMES WISEMORE
PARLIMENTARIAN
1600 S BROADWAY
OAK GROVE MO 64075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 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 Yes
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 JOHN FOLLIS
Signature Title TREASURY
Signature Date 1/17/2020

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