FORM 1023-EZ for HELENA DISC GOLF INC

Field Data
EIN 47-4234045
Case Number EO-2015348-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELENA DISC GOLF INC
Organization’s Mailing Address 5497 MOJAVE COURT
City HELENA
State MT
ZIP 59602
Accounting period End 12
Primary contact name JASON SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON SCHMIDT
PRESIDENT AND DIRECTOR
5497 MOJAVE COURT
HELENA MT 59602

Officer/Director/Trustee Two

TRAVIS BROWER
TREASURER AND DIRECTOR
5497 MOJAVE COURT
HELENA MT 59602

Officer/Director/Trustee Three

CHRISTIAN DIETRICH
SECRETARY AND DIRECTOR
5497 MOJAVE COURT
HELENA MT 59602

Officer/Director/Trustee Four

HEATHER DAVIDSON
DIRECTOR
5497 MOJAVE COURT
HELENA MT 59602

Officer/Director/Trustee Five

MICHAEL MADSEN
DIRECTOR
5497 MOJAVE COURT
HELENA MT 59602

Organization’s website
Organization’s email HELENADISCGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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