FORM 1023-EZ for THE INDIAN MOON FOUNDATION

Field Data
EIN 82-1995606
Case Number EO-2017198-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE INDIAN MOON FOUNDATION
Organization’s Mailing Address 922 FRONT STREET APARTMENT 102
City PHILIPSBURG
State MT
ZIP 59858
Accounting period End 12
Primary contact name JACQUELYN R WALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES W ADIE
PRESIDENT
922 FRONT STREET APT 102
PHILIPSBURG MT 59858

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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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