FORM 1023-EZ for SAMARITANS OF PAULS VALLEY

Field Data
EIN 81-3035567
Case Number EO-2016230-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARITANS OF PAULS VALLEY
Organization’s Mailing Address PO BOX 638
City PAULS VALLEY
State OK
ZIP 73075-0638
Accounting period End 3
Primary contact name LORRAINE CONLEY-WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOU HALL
PRESIDENT
101 TWIN OAKS
PAULS VALLEY OK 73075

Officer/Director/Trustee Two

BETTY MCGEE
VICE-PRESIDENT
819 DOGWOOD
PAULS VALLEY OK 73076

Officer/Director/Trustee Three

LORRAINE CONLEY-WALKER
SECRETARY
41 CROWN PT
PAULS VALLEY OK 73075-5306

Officer/Director/Trustee Four

CAROL REED
TREASURER
14486 NCR 3300
PAULS VALLEY OK 73075

Officer/Director/Trustee Five

RODNEY SCHRODER
PROGRAM ADMINISTRATOR
1411 14TH STREET
MAYSVILLE OK 73057

Organization’s website
Organization’s email SAMARITINS@ATT.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/1979
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: Yes
Religious: No
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 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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