FORM 1023-EZ for SALINA MEDICAL STUDENT MISSIONS FOUNDATION

Field Data
EIN 83-2177234
Case Number EO-2018288-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALINA MEDICAL STUDENT MISSIONS FOUNDATION
Organization’s Mailing Address 318 N SANTA FE AVE
City SALINA
State KS
ZIP 67401-7323
Accounting period End 12
Primary contact name JORRIE DYKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORRIE DYKES
DIRECTOR
1130 SUNRISE DRIVE
SALINA KS 67401

Officer/Director/Trustee Two

NATHAN FINCH
DIRECTOR
PO BOX 402
LINDSBORG KS 67456

Officer/Director/Trustee Three

NATHANIEL GRABILL
DIRECTOR
857 EASTRIDGE DRIVE
SALINA KS 67401

Officer/Director/Trustee Four

JOSHUA WARNER
DIRECTOR
146 N 11TH STREET
SALINA KS 67401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 JORRIE DYKES
Signature Title DIRECTOR
Signature Date 10/11/18

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