FORM 1023-EZ for MISSION VALLEY ASA

Field Data
EIN 82-1640172
Case Number EO-2019092-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION VALLEY ASA
Organization’s Mailing Address 107 7TH AVE NW
City RONAN
State MT
ZIP 59864-2216
Accounting period End 12
Primary contact name RAQUEL MOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN MOCK
PRESIDENT
107 7TH AVE NW
ROANN MT 59864-2216

Officer/Director/Trustee Two

RAQUEL MOCK
SECRETARY/TREASURER
107 7TH AVE NW
RONAN MT 59864-2216

Organization’s website N/A
Organization’s email ALYROO04@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/17
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 RAQUEL MOCK
Signature Title SECRETARY/TREASURER
Signature Date 3/31/19

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