FORM 1023-EZ for FREDERICK FORWARD

Field Data
EIN 80-0500431
Case Number EO-2014269-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREDERICK FORWARD
Organization’s Mailing Address BOX 533
City FREDERICK
State SD
ZIP 57441
Accounting period End 12
Primary contact name DONNA SUMPTION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRYSTI MIKKONEN
PRESIDENT
38388 105TH ST
FREDERICK SD 57441

Officer/Director/Trustee Two

TRACY OLSON
SECRETARY
39277 107TH ST
FREDERICK SD 57441

Officer/Director/Trustee Three

HEIDI MARTTILA-LOSURE
VICE PRESIDENT
39038 105TH ST
FREDERICK SD 57441

Officer/Director/Trustee Four

DONNA SUMPTION
TREASURER
38855 107TH ST
FREDERICK SD 57441

Organization’s website FREDERICKSD.COM/FREDERICK-FORWARD
Organization’s email FREDERICKFORWARD@FREDERICKSD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2009
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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