FORM 1023-EZ for MCR

Field Data
EIN 83-1970707
Case Number EO-2020027-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCR
Organization’s Mailing Address 31951 MEDICINE CREEK RD
City KENNEBEC
State SD
ZIP 57544
Accounting period End 12
Primary contact name TONYA NESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRA MCDONALD
DIRECTOR
802 BON AVE
LENOIR CITY TN 37771

Officer/Director/Trustee Two

STEPHANIE MADSEN
DIRECTOR
306 N HARRISON AVE
PIERRE SD 57501

Officer/Director/Trustee Three

TONYA NESS
DIRECTOR
31951 MEDICINE CREEK RD
KENNEBEC SD 57544

Officer/Director/Trustee Four

FORREST LEWIS
DIRECTOR
136 PINE AVE
PRINGLE SD 57773

Officer/Director/Trustee Five

DAWN MUTCHELKNAUS
DIRECTOR
38622 202ND ST
WOLSEY SD 57384

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2018
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TONYA NESS
Signature Title DIRECTOR
Signature Date 1/23/2020

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