FORM 1023-EZ for LATIN MASS MONTANA INC

Field Data
EIN 47-2058001
Case Number EO-2015121-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATIN MASS MONTANA INC
Organization’s Mailing Address PO BOX 235
City PLAINS
State MT
ZIP 59859
Accounting period End 12
Primary contact name TYLER AMENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID WROBLESKI
PRESIDENT AND DIRECTOR
65 UPPER BLOOMING HILLS RD
PLAINS MT 59859

Officer/Director/Trustee Two

TYLER AMENT
SECRETARY AND DIRECTOR
1700 MOJAVE VIEW CIR
CORONA CA 92882

Officer/Director/Trustee Three

THERESA DALIMATA
TREASURER AND DIRECTOR
PO BOX 273
WEST GLACIER MT 59936

Organization’s website WWW.LATINMASSMONTANA.COM
Organization’s email CONTACT@LATINMASSMONTANA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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