FORM 1023-EZ for MINERAL COUNTY HELPLINE INC

Field Data
EIN 81-0470620
Case Number EO-2015125-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINERAL COUNTY HELPLINE INC
Organization’s Mailing Address PO BOX 142
City SUPERIOR
State MT
ZIP 59872
Accounting period End 6
Primary contact name MARY FURLONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLY MILLER
PRESIDENT
291 MILLER LANE
SUPERIOR MT 59872

Officer/Director/Trustee Two

JUDY JACKMAN
VICE PRESIDENT
PO BOX 394
SUPERIOR MT 59872

Officer/Director/Trustee Three

POLLY PERKINS
TREASURER/SECRETARY
PO BOX 116
SUPERIOR MT 59872

Officer/Director/Trustee Four

ELIZABETH GUPTON
VOTING MEMBER
PO BOX 401
ALBERTON MT 59820

Officer/Director/Trustee Five

MAGGIE YORK
VOTING MEMBER
29 SECOND CREEK ROAD
SUPERIOR MT 59872

Organization’s website
Organization’s email MCHELPLINE@BLACKFOOT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/1991
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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