FORM 1023-EZ for POLSON SENIOR GRADUATION ASSOCIATION INC

Field Data
EIN 82-4596429
Case Number EO-2018247-000685
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLSON SENIOR GRADUATION ASSOCIATION INC
Organization’s Mailing Address 31584 MCGREW LANE
City POLSON
State MT
ZIP 59860
Accounting period End 12
Primary contact name KARI MAUSSHARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANA SEELEY
PRESIDENT
811 11TH AVENUE EAST
POLSON MT 59860

Officer/Director/Trustee Two

KELLY SCHULTZ
TREASURER
39549 CROSS COUNTRY ROAD
POLSON MT 59860

Officer/Director/Trustee Three

ANN MODERIE
SECRETARY
40537 APPLE ROAD
POLSON MT 59860

Officer/Director/Trustee Four

KARI MAUSSHARDT
DIRECTOR
31584 MCGREW LANE
POLSON MT 59860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/18
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANN MODERIE
Signature Title SECRETARY
Signature Date 8/31/18

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