FORM 1023-EZ for SAMS HOPE FOUNDATION

Field Data
EIN 47-2904965
Case Number EO-2015029-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMS HOPE FOUNDATION
Organization’s Mailing Address PO BOX 245
City LINCOLN
State MT
ZIP 59639-0245
Accounting period End 12
Primary contact name WILLIAM GUZA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGE KOLVE
EXECUTIVE DIRECTOR
PO BOX 245
LINCOLN MT 59639-0245

Officer/Director/Trustee Two

GLEN KOLVE
CHEIF FINANCIAL OFFICER
PO BOX 245
LINCOLN MT 59639-0245

Officer/Director/Trustee Three

WILLIAM GUZA
DIRECTOR
1402 HOLLY DRIVE
BOZEMAN MT 59715

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2012
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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
Signature Title
Signature Date

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