FORM 1023-EZ for MONTANA NURSES ASSOCIATION FOUNDATION

Field Data
EIN 81-3002564
Case Number EO-2016216-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTANA NURSES ASSOCIATION FOUNDATION
Organization’s Mailing Address 20 OLD MONTANA STATE HIGHWAY
City CLANCY
State MT
ZIP 59634
Accounting period End 6
Primary contact name ANDREW T BILLSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKY BYRD
DIRECTOR/PRESIDENT
3685 WILDFIRED ROAD
EAST HELENA MT 59635

Officer/Director/Trustee Two

JILL HINDOEIN
DIRECTOR/TREASURER
1325 CHARLIE RUSSELL DRIVE
HELENA MT 59601

Officer/Director/Trustee Three

LORRI BENNETT
DIRECTOR/VICE PRESIDENT
887 RACETRACK ROAD
DEER LODGE MT 59722

Officer/Director/Trustee Four

MARY ANN ZEISLER
DIRECTOR/SECRETARY
3698 TRAVERTINE WAY UNIT B
HELENA MT 59602

Officer/Director/Trustee Five

TERRY DUTRO
DIRECTOR
6340 ALAMOSA LANE
BOZEMAN MT 59718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 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 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
Signature Title
Signature Date

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