FORM 1023-EZ for THOMPSON FALLS MASONIC LODGE

Field Data
EIN 81-3324390
Case Number EO-2017285-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THOMPSON FALLS MASONIC LODGE
Organization’s Mailing Address 409 OLD HIGHWAY 200
City TROUT CREEK
State MT
ZIP 59874
Accounting period End 12
Primary contact name CAL DUNKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TED HOGLUND
W MASTER
PO BOX 37
THOMPSON FALLS MT 59873

Officer/Director/Trustee Two

RON CLARK
S WARDEN
PO BOX 1419
THOMSPON FALLS MT 59873

Officer/Director/Trustee Three

ED WALL
J WARDEN
PO BOX 412
THOMPSON FALLS MT 59873

Officer/Director/Trustee Four

CAL DUNKS
SECRETARY/TREASURER
409 OLD HWY 200
TROUT CREEK MT 59874

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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