FORM 1023-EZ for NORTH DAKOTA SOCIETY OF HEALTHCARE RISK MANAGEMENT
| Field | Data |
|---|---|
| EIN | 26-0030996 |
| Case Number | EO-2018061-000101 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTH DAKOTA SOCIETY OF HEALTHCARE RISK MANAGEMENT |
| Organization’s Mailing Address | 401 DEMERS AVE STE 500 PO BOX 5849 |
| City | GRAND FORKS |
| State | ND |
| ZIP | 58206 |
| Accounting period End | 12 |
| Primary contact name | ANN FIALA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANN FIALA
PRESIDENT/TREASURER
790 107TH ST
ROBERTS WI 54023
Officer/Director/Trustee Two
CYNDI SIDERS
VP/PRESIDENT ELECT
1105 S 22ND ST
GRAND FORKS ND 58201
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/8/01 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| 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 | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | ANN FIALA |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 2/28/18 |
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