FORM 1023-EZ for MINI-CASSIA TRANSITIONAL LIVING INC

Field Data
EIN 82-1782499
Case Number EO-2017160-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINI-CASSIA TRANSITIONAL LIVING INC
Organization’s Mailing Address 562 WEST SUNNY SLOPE DRIVE
City PAUL
State ID
ZIP 83347
Accounting period End 12
Primary contact name JACOB CATMULL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCY BRUDERER
PRESIDENT
562 WEST SUNNY SLOPE DRIVE
PAUL ID 83347

Officer/Director/Trustee Two

DALLAS BRUDERER
VICE-PRESIDENT
562 WEST SUNNY SLOPE DRIVE
PAUL ID 83347

Officer/Director/Trustee Three

TAREN HUTCHINSON
SECRETARY
562 WEST SUNNY SLOPE DRIVE
PAUL ID 83347

Organization’s website
Organization’s email DALLASMARCY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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