FORM 1023-EZ for WESTERN MONTANA MYCOLOGICAL ASSOCIATION

Field Data
EIN 81-0521065
Case Number EO-2016012-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN MONTANA MYCOLOGICAL ASSOCIATION
Organization’s Mailing Address PO BOX 7306
City MISSOULA
State MT
ZIP 59807-7306
Accounting period End 12
Primary contact name L
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAWRENCE EVANS
DIRECTOR
2021 S 5TH ST W
MISSOULA MT 59801-2211

Officer/Director/Trustee Two

TIMOTHY WHEELER
B
JOCKO ROAD
ARLEE MT 59634-2211

Officer/Director/Trustee Three

EGAN BRADLEY
DIRECTOR
510 E KENT
MISSOULA MT 59802-2211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/1999
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C42 - Garden Club, Horticultural Program
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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