FORM 1023-EZ for GROWING HOPE IN PEMBINA COUNTY

Field Data
EIN 84-5024063
Case Number EO-2020069-000610
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROWING HOPE IN PEMBINA COUNTY
Organization’s Mailing Address PO BOX 170
City CAVALIER
State ND
ZIP 58220-0170
Accounting period End 12
Primary contact name BRENDA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA BOHN
PRESIDENT
211 DIVISION AVENUE SOUTH
CAVALIER ND 58220-0170

Officer/Director/Trustee Two

DAWN FALK
VICE PRESIDENT
407 EAST SECOND AVENUE NORTH
CAVALIER ND 58220-4424

Officer/Director/Trustee Three

BRENDA ANDERSON
SECRETARY
108 SPRUCE LANE
CAVALIER ND 58220-4430

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 BRENDA ANDERSON
Signature Title SECRETARY
Signature Date 3/6/2020

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