FORM 1023-EZ for SAMARITANS MISSIONARY HOUSE THRIFT SHOP

Field Data
EIN 82-1695340
Case Number EO-2017170-000462
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARITANS MISSIONARY HOUSE THRIFT SHOP
Organization’s Mailing Address 120 EAST 7TH STREET
City CENTRALIA
State IL
ZIP 62801
Accounting period End 6
Primary contact name SHIRLENE HUFFSTUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLENE HUFFSTUTLER
CEO/PRESIDENT/TREASURER
PO BOX 74
RADOM IL 62876

Officer/Director/Trustee Two

LYLE HUFFSTUTLER
IL
PO BOX 74
RADOM IL 62876

Officer/Director/Trustee Three

EMILY NEWTON
SECETARY
415 EAST 5TH STREET
CENTRALIA IL 62801

Organization’s website
Organization’s email SAMARITANSMISSIONARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 Yes
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 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
Signature Title
Signature Date

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