FORM 1023-EZ for EASTERN MONTANA VETERANS HOME FOUNDATION INC

Field Data
EIN 81-0495371
Case Number EO-2015190-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASTERN MONTANA VETERANS HOME FOUNDATION INC
Organization’s Mailing Address PO BOX 142
City GLENDIVE
State MT
ZIP 59330
Accounting period End 12
Primary contact name LESLIE MICHELETTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEE BASTA
PRESIDENT
PO BOX 142
GLENDIVE MT 59330

Officer/Director/Trustee Two

PAT KALLOCH
VICE PRESIDENT
PO BOX 142
GLENDIVE MT 59330

Officer/Director/Trustee Three

LESLIE MICHELETTO
SECRETARY/TREASURER
PO BOX 142
GLENDIVE MT 59330

Officer/Director/Trustee Four

HELEN BERES
DIRECTOR
PO BOX 142
GLENDIVE MT 59330

Officer/Director/Trustee Five

SAM DURHAM
DIRECTOR
PO BOX 142
GLENDIVE MT 59330

Organization’s website N/A
Organization’s email LESLIEMICHELETTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/1994
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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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