FORM 1023-EZ for NDMCA FOUNDATION

Field Data
EIN 81-3879561
Case Number EO-2016319-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NDMCA FOUNDATION
Organization’s Mailing Address 1937 EAST CAPITOL AVENUE
City BISMARCK
State ND
ZIP 58501
Accounting period End 12
Primary contact name ARIK SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARIK SPENCER
EXECUTIVE VP
1937 EAST CAPITOL AVE
BISMARCK ND 58501

Officer/Director/Trustee Two

DICK JOHNSON
TREASURER
PO BOX 1516
BISMARCK ND 58502-1058

Officer/Director/Trustee Three

MARK WOLTER
CHAIRPERSON
PO BOX 695
WEST FARGO ND 58078

Officer/Director/Trustee Four

MELISSA DIXON
VICE CHAIRPERSON
PO BOX 10307
FARGO ND 58106-0307

Officer/Director/Trustee Five

PAT SEVERSON
SECRETARY
50 SOUTH 3RD AVENUE WEST
DICKINSON ND 58601

Organization’s website N/A
Organization’s email INFO@NDMCA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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