FORM 1023-EZ for BIG HORN COUNTY YOUTH DEVELPMENT ASSOCIATION

Field Data
EIN 85-4008806
Case Number EO-2021042-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIG HORN COUNTY YOUTH DEVELPMENT ASSOCIATION
Organization’s Mailing Address PO BOX 42
City HARDIN
State MT
ZIP 59034
Accounting period End 12
Primary contact name DELPHINE GRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER HECKER
PRESIDENT
PO BOX 806
LODGE GRASS MT 59050

Officer/Director/Trustee Two

VALERIE UFFELMAN
VICE-PRESIDENT
HC 36 BOX 2264
HARDIN MT 59034

Officer/Director/Trustee Three

DELPHINE GRAHAM
SECRETARY
PO BOX 205
LODGE GRASS MT 59050

Officer/Director/Trustee Four

MICHELLE UFFELMAN
TREASURER
PO BOX 261
HARDIN MT 59034

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DELPHINE GRAHAM
Signature Title SECRETARY
Signature Date 12/16/2020

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