FORM 1023-EZ for MULLAN COMMUNITY ACTION NETWORK INC

Field Data
EIN 81-2626861
Case Number EO-2016159-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MULLAN COMMUNITY ACTION NETWORK INC
Organization’s Mailing Address PO BOX 382
City MULLAN
State ID
ZIP 83846-0382
Accounting period End 12
Primary contact name CLARE DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLARE DRAKE
PRESIDENT - CFO
PO BOX 382
MULLAN ID 83846-0382

Officer/Director/Trustee Two

NANCY GRIBBLE
SECRETARY
PO BOX 63
MULLAN ID 83846-0063

Officer/Director/Trustee Three

SHARON MINER
TRUSTEE
PO BOX 55
MULLAN ID 83846-0055

Officer/Director/Trustee Four

DOREEN LINDROOS
TRUSTEE
PO BOX 595
MULLAN ID 83846-0595

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State ID
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: 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 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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