FORM 1023-EZ for USPC NEWCO INC

Field Data
EIN 37-1656561
Case Number EO-2015057-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USPC NEWCO INC
Organization’s Mailing Address 5705 WILDCAT ROAD
City MISSOULA
State MT
ZIP 59802
Accounting period End 12
Primary contact name BONNIE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BONNIE SMITH
TREASURER
5705 WILDCAT ROAD
MISSOULA MT 59802

Officer/Director/Trustee Two

JULAINE MONSON
DISTRICT COMMISSIONER
20810 US HWY 10 EAST
CLINTON MT 59825

Officer/Director/Trustee Three

HOLLI ROZINKA
JOINT DISTRICT COMMISSIONER
11329 TOOKIE TREK
MISSOULA MT 59808

Officer/Director/Trustee Four

KIMBER MCKAY
SECRETARY
734 CHERRY STREET
MISSOULA MT 59802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2011
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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