FORM 1023-EZ for HABITAT FOR HUMANITY OF MILLER COUNTY INC

Field Data
EIN 43-1899714
Case Number EO-2016165-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HABITAT FOR HUMANITY OF MILLER COUNTY INC
Organization’s Mailing Address PO BOX 756
City ELDON
State MO
ZIP 65026
Accounting period End 6
Primary contact name JOHNNIE BRIGGS-TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNIE BRIGGS TAYLOR
PRESIDENT
PO BOX 756
ELDON MO 65026

Officer/Director/Trustee Two

ALBERT WEST
VICE-PRESIDENT
23 HIDDEN VALLEY ROAD
ELDON MO 65026

Officer/Director/Trustee Three

BEVERLY MILLER
SECRETARY
23 MILLER RD
ELDON MO 65026

Officer/Director/Trustee Four

MARK RUNYAN
TREASURER
509 DUNSTAN RD
ELDON MO 65026

Organization’s website
Organization’s email HFHOFMILLERCNTY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2000
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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