FORM 1023-EZ for PLATTE VALLEY RECOVERY HOUSE
| Field | Data |
|---|---|
| EIN | 82-0780464 |
| Case Number | EO-2018317-000484 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PLATTE VALLEY RECOVERY HOUSE |
| Organization’s Mailing Address | 710 W FRONT ST |
| City | NORTH PLATTE |
| State | NE |
| ZIP | 69101 |
| Accounting period End | 2 |
| Primary contact name | RAY SEIFER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RAY SEIFER
CHAIRMAN
710 W FRONT ST
NORTH PLATTE NE 69101
Officer/Director/Trustee Two
JOHN SHACKLEFORD
BOARD MEMBER
710 W FRONT ST
NORTH PLATTE NE 69101
Officer/Director/Trustee Three
SHERI SHORE
SECRETARY
710 W FRONT ST
NORTH PLATTE NE 69101
Officer/Director/Trustee Four
BRUCE DODSON
BOARD MEMBER
710 W FRONT ST
NORTH PLATTE NE 69101
Officer/Director/Trustee Five
GEORGE CHEEK
BOARD MEMBER
710 W FRONT ST
NORTH PLATTE NE 69101
| Organization’s website | |
|---|---|
| Organization’s email | PLATTEVALLEYRECOVERYHOUSE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/4/17 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes 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 | 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 | RAY SEIFER |
| Signature Title | CHAIRMAN |
| Signature Date | 11/10/18 |
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