FORM 1023-EZ for BOZEMAN JUJITSU

Field Data
EIN 82-2827812
Case Number EO-2018232-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOZEMAN JUJITSU
Organization’s Mailing Address 3260 PRAIRIE SMOKE RD
City BOZEMAN
State MT
ZIP 59715
Accounting period End 12
Primary contact name VERNON BREKKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNON BREKKE
DIRECTOR
3260 PRAIRIE SMOKE RD
BOZEMAN MT 59715

Officer/Director/Trustee Two

RYAN WELCH
PRESIDENT
110 N BROADWAY ST
MANHATTEN MT 59741

Officer/Director/Trustee Three

JARED SMITH
DIRECTOR
2754 HEDGEGROW COURT
BOZEMAN MT 59718

Officer/Director/Trustee Four

KAYLEE KRANTZ
SECRETARY
184 GREEN TREE DRIVE
BELGRADE MT 59714

Officer/Director/Trustee Five

WILLIAN CAREY
TREASURER
3159 SUMMER VIEW LANE
BOZEMAN MT 59715

Organization’s website BOZEMANJUJITSU.COM
Organization’s email BOZEMANJUJITSU@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/17
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VERNON BREKKE
Signature Title DIRECTOR
Signature Date 8/16/18

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