FORM 1023-EZ for BLACK HILLS ROAD TRIP OF HOPE

Field Data
EIN 86-1745905
Case Number EO-2021176-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK HILLS ROAD TRIP OF HOPE
Organization’s Mailing Address 838 ROSILEE LANE
City RAPID CITY
State SD
ZIP 57701
Accounting period End 12
Primary contact name SUSAN HARDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN HARDINA
PRESIDENT
838 ROSILEE LANE
RAPID CITY SD 57701

Officer/Director/Trustee Two

CHRISTINA FARRUGIA
VICE PRESIDENT
4537 DUCKHORN ST
RAPID CITY SD 57703

Officer/Director/Trustee Three

ELIZABETH SMITH
SECRETARY
1381 BOX CANYON RD
HERMOSA SD 57744

Officer/Director/Trustee Four

BRAD CURTIS
TREASURER
2360 AMBUSH RANCH RD
RAPID CITY SD 57703

Organization’s website
Organization’s email BLACKHILLSROADTRIPOFHOPE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund 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 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 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 SUSAN HARDINA
Signature Title PRESIDENT
Signature Date 6/23/2021

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