FORM 1023-EZ for FLATHEAD VALLEY DISC GOLF

Field Data
EIN 81-5451236
Case Number EO-2017058-000548
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLATHEAD VALLEY DISC GOLF
Organization’s Mailing Address 189 DAWN DRIVE
City KALISPELL
State MT
ZIP 59912-8960
Accounting period End 12
Primary contact name DAVID ENGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ENGLE
PRESIDENT
1748 BISON DRIVE
KALISPELL MT 59901-5104

Officer/Director/Trustee Two

EDWARD WARNER
INITIAL DIRECTOR
189 DAWN DRIVE
COLUMBIA FALLS MT 59912-8960

Officer/Director/Trustee Three

KEVIN BENEFIELD
INITIAL DIRECTOR
275 TETRAULT ROAD
KALISPELL MT 59901-6703

Officer/Director/Trustee Four

MICHAEL MILLER
INITIAL DIRECTOR
175 STONER CREEK ROAD
LAKESIDE MT 59922-9619

Officer/Director/Trustee Five

CALEB MOSER
INITIAL DIRECTOR
453 FOREST EDGE TRAIL
KALISPELL MT 59901-3183

Organization’s website FLATHEADVALLEYDISCGOLF.ORG
Organization’s email FLATHEADVALLEYDISCGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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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