FORM 1023-EZ for CRESCENT MONTANA INC

Field Data
EIN 83-2351854
Case Number EO-2019206-000020
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRESCENT MONTANA INC
Organization’s Mailing Address PO BOX 174200
City BOZEMAN
State MT
ZIP 59717-4200
Accounting period End 12
Primary contact name OWEN BURROUGHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OWEN BURROUGHS
PRESIDENT
PO BOX 174200
BOZEMAN MT 59717-4200

Officer/Director/Trustee Two

JESSICA BRITO
CHAIR OF THE BOARD
PO BOX 174200
BOZEMAN MT 59717-4200

Officer/Director/Trustee Three

DALE HANSEN
DIRECTOR
PO BOX 174200
BOZEMAN MT 59717-4200

Officer/Director/Trustee Four

ABIGAIL BERNARD
DIRECTOR
PO BOX 174200
BOZEMAN MT 59717-4200

Officer/Director/Trustee Five

RYAN SWIMLEY
DIRECTOR
PO BOX 174200
BOZEMAN MT 59717-4200

Organization’s website WWW.CRESCENTMT.ORG
Organization’s email CRESCENTMONTANA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 OWEN BURROUGHS
Signature Title PRESIDENT
Signature Date 7/22/19

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