FORM 1023-EZ for MONTANA PERINATAL ASSOCIATION

Field Data
EIN 47-3621666
Case Number EO-2015317-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTANA PERINATAL ASSOCIATION
Organization’s Mailing Address 1108 23RD AVE SW
City GREAT FALLS
State MT
ZIP 59404-3437
Accounting period End 12
Primary contact name CHERYL JANINE HESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK KANETA
PRESIDENT
KALISPELL REGIONAL MEDICAL CENTER
KALISPELL MT 59901

Officer/Director/Trustee Two

CAROLINE MCCONVILLE
VICE PRESIDENT
1101 26TH ST SOUTH
GREAT FALLS MT 59405

Officer/Director/Trustee Three

CHERYL HESTER
SECRETARY/TREASURER
1108 23RD AVE SW
GREAT FALLS MT 59404

Organization’s website MTPERINATAL.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1980
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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