FORM 1023-EZ for SOUTH DAKOTA LOCAL ASSISTANCE STATETEAM

Field Data
EIN 83-2672947
Case Number EO-2020013-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH DAKOTA LOCAL ASSISTANCE STATETEAM
Organization’s Mailing Address 110 SORENSEN ST PO BOX 606
City VIBORG
State SD
ZIP 57070-0606
Accounting period End 12
Primary contact name RODNEY VELDHUIZEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY WARREN
PRESIDENT
4014 WINEBERRY LN
RAPID CITY SD 57703-6925

Officer/Director/Trustee Two

BRENT LONG
DIRECTOR
10 MAIN ST
RAPID CITY SD 57701-2832

Officer/Director/Trustee Three

DAWN KLUDT
SECRETARY/TREASURER
110 SORENSEN ST
VIBORG SD 57070-0606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2018
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M02 - Management & Technical Assistance
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 CASEY WARREN
Signature Title PRESIDENT
Signature Date 1/10/2020

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