FORM 1023-EZ for ANACONDA DESIGNATED DRIVERS

Field Data
EIN 84-3441539
Case Number EO-2019298-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANACONDA DESIGNATED DRIVERS
Organization’s Mailing Address 111 E COMMERCIAL AVE UNIT 4
City ANACONDA
State MT
ZIP 59711
Accounting period End 12
Primary contact name AMANDA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA WILSON
DIRECTOR & PRESIDENT
111 E COMMERCIAL AVE UNIT 4
ANACONDA MT 59711

Officer/Director/Trustee Two

PHILLIP BRACHA
DIRECTOR & SECRETARY
223 LOCUST ST
ANACONDA MT 59711

Officer/Director/Trustee Three

BE VANG
DIRECTOR
111 E COMMERCIAL AVE UNIT 4
ANACONDA MT 59711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I23 - Drunk Driving Related
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 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 AMANDA WILSON
Signature Title DIRECTOR & PRESIDENT
Signature Date 10/23/19

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