FORM 1023-EZ for GOOD SAMARITAN GROUP
| Field | Data |
|---|---|
| EIN | 81-2717334 |
| Case Number | EO-2020065-000167 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GOOD SAMARITAN GROUP |
| Organization’s Mailing Address | 35863 COAL HERITAGE ROAD |
| City | NORTHFORK |
| State | WV |
| ZIP | 24868-0001 |
| Accounting period End | 12 |
| Primary contact name | TONYA LASH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RAYMOND LEE
PRESIDENT
35863 COAL HERITAGE ROAD
NORTHFORK WV 24868-0001
Officer/Director/Trustee Two
TONI LEE
VICE PRESIDENT
35863 COAL HERITAGE ROAD
NORTHFORK WV 24868-0001
Officer/Director/Trustee Three
ALEXANDER FRASER
TREASURER
10935 EMERALD WOODS ROAD
HUNTERSVILLE NC 28078
Officer/Director/Trustee Four
JULIUS LASH
SARGENT AT ARMS
218 ROBBINS ST
PRINCETON WV 24740
Officer/Director/Trustee Five
SHARON LEE
SECRETARY
5488 AMITY MOOR RD
WESTERVILLE OH 43081
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/25/2015 |
| Organization Incorporation State | WV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | 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 | RAYMOND LEE |
| Signature Title | PRESIDENT |
| Signature Date | 3/3/2020 |
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