FORM 1023-EZ for STUTSMAN COUNTY HUMAN RIGHTS COALITION

Field Data
EIN 87-0858149
Case Number EO-2021267-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STUTSMAN COUNTY HUMAN RIGHTS COALITION
Organization’s Mailing Address 808 4TH AVE SE
City JAMESTOWN
State ND
ZIP 58401
Accounting period End 12
Primary contact name GEORGE H BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM PHILLIPS
CHAIR
PO BOX 308
JAMESTOWN ND 58402

Officer/Director/Trustee Two

GEORGE BARNES
CO-CHAIR
808 4TH AVE SE
JAMESTOWN ND 58401

Officer/Director/Trustee Three

BRAD MILLS
SECRETARY
401 8TH ST NE
JAMESTOWN ND 58401

Officer/Director/Trustee Four

MARY SMITH
TREASURER
419 5TH ST NE APT 201
JAMESTOWN ND 58401

Officer/Director/Trustee Five

PENNY BREISE
EXECUTIVE DIRECTOR
606 3RD ST
EDGELY ND 50433

Organization’s website
Organization’s email GBARNES8366@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2021
Organization Incorporation State ND
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration No
Signature Name GEORGE BARNES
Signature Title CO-CHAIR
Signature Date 9/22/2021

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