FORM 1023-EZ for GALLATIN LEGAL ASSISTANCE CLINIC INC

Field Data
EIN 47-2670237
Case Number EO-2015020-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GALLATIN LEGAL ASSISTANCE CLINIC INC
Organization’s Mailing Address 101 E MENDENHALL
City BOZEMAN
State MT
ZIP 59715
Accounting period End 12
Primary contact name PAM POON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAM POON
DIRECTOR
101 E MENDENHALL
BOZEMAN MT 59715

Officer/Director/Trustee Two

KATHERINE MAZUREK
DIRECTOR
611 W MAIN ST
BOZEMAN MT 59715

Officer/Director/Trustee Three

MOLLY LITZEN
DIRECTOR
1915 S 19TH AVE
BOZEMAN MT 59718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2014
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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