FORM 1023-EZ for GLADSTONE HALL ASSOCIATION

Field Data
EIN 81-4957959
Case Number EO-2017020-000445
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADSTONE HALL ASSOCIATION
Organization’s Mailing Address 3091 100 AVE SW
City GLADSTONE
State ND
ZIP 58630
Accounting period End 12
Primary contact name PATRICK MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK MEYER
PRESIDENT
3091 100 AVE SW
GLADSTONE ND 58630

Officer/Director/Trustee Two

TIM MEYER
VICE PRESIDENT
9019 34TH SW
RICHARDTON ND 58652

Officer/Director/Trustee Three

SHAWN MEYER
TREASURER
4048 HIGHWAY 22
DICKINSON ND 58601

Officer/Director/Trustee Four

JEROME HAICH
SECRETARY
100 M AVE SW
GLADSTONE ND 58630

Organization’s website
Organization’s email PPAULM@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Disaster relief assistance Yes
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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