FORM 1023-EZ for DR DAN ONEILL ORGANIZATION

Field Data
EIN 47-1097769
Case Number EO-2014356-000492
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DR DAN ONEILL ORGANIZATION
Organization’s Mailing Address 3502 LARAMIE DR SUITE 1
City BOZEMAN
State MT
ZIP 59718-2007
Accounting period End 12
Primary contact name DR TODD STEINMETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD STEINMETZ
EXECUTIVE DIRECTOR
3502 LARAMIE DR SUITE 1
BOZEMAN MT 59718-2007

Officer/Director/Trustee Two

BARBARA BAKWIN
SECRETARY TREASURER
3502 LARAMIE DR SUITE 1
BOZEMAN MT 59718-2007

Officer/Director/Trustee Three

SHEILA ONEILL
BOARD MEMBER
3502 LARAMIE DR SUITE 1
BOZEMAN MT 59718-2007

Organization’s website
Organization’s email CONTACTUS@FORTPECK.MYDRTODD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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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