FORM 1023-EZ for DIVISION 687 FOUNDATION

Field Data
EIN 82-2366394
Case Number EO-2017236-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIVISION 687 FOUNDATION
Organization’s Mailing Address 47764 CENTER STREET
City ELK POINT
State SD
ZIP 57025
Accounting period End 12
Primary contact name DALE C TIGGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY DITTMER
DIRECTOR, PRESIDENT
47764 CENTER STREET
ELK POINT SD 57025

Officer/Director/Trustee Two

AARON OSTERBUHR
TREASURER, DIRECTOR
1919 SOUTH CEDAR STREET
SIOUX CITY IA 51106

Officer/Director/Trustee Three

CRAIG KENNEDY
VICE PRESIDENT, DIRECTOR
211 SOUTH CHURCHILL CIRCLE
NORTH SIOUX CITY SD 57049

Officer/Director/Trustee Four

CLAYTON PETERSEN
SECRETARY, DIRECTOR
750 7TH AVENUE
LYONS NE 68038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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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