FORM 1023-EZ for HURDLE LIFE FOUNDATION

Field Data
EIN 85-1369562
Case Number EO-2020213-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HURDLE LIFE FOUNDATION
Organization’s Mailing Address 3900 HAWTHORNE AVE APT 303
City SIOUX FALLS
State SD
ZIP 57105
Accounting period End 12
Primary contact name TERRY LIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY LIGGINS
PRESIDENT
3900 HAWTHORNE AVE APT 303
SIOUX FALLS SD 57105

Officer/Director/Trustee Two

JATHAN CHICOINE
VICE PRESIDENT
15583 580TH AVENUE
STORY CITY IA 50248

Officer/Director/Trustee Three

MONIQUE JOHNSON
TREASURER
8201 SOUTH BRENDA PLACE
SIOUX FALLS SD 57108

Officer/Director/Trustee Four

RICH BRAUNSTEIN
SECRETARY
414 EAST CLARK STREET
VERMILLION SD 57069

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRY LIGGINS
Signature Title PRESIDENT
Signature Date 7/29/2020

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