FORM 1023-EZ for ALLIANCE BENEFITING CHILDREN OF SOUTH DAKOTA

Field Data
EIN 83-0527109
Case Number EO-2018184-000026
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLIANCE BENEFITING CHILDREN OF SOUTH DAKOTA
Organization’s Mailing Address 427 N MINNESOTA AVE STE 101
City SIOUX FALLS
State SD
ZIP 57104
Accounting period End 12
Primary contact name MITCH VANDEN BERGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA FARNSWORTH FARNSWORTH
PRESIDENT
336 EDELWEISS LANE
BOX ELDER SD 57719

Officer/Director/Trustee Two

KATHY CHESNEY
VICE PRESIDENT
103 S HOWARD AVENUE
PHILIP SD 57567

Officer/Director/Trustee Three

STACY HOWLETT
SECRETARY
900 WEST TRADEWINDS
SIOUX FALLS SD 57108

Officer/Director/Trustee Four

MITCH VANDEN BERGE
TREASURER
4509 S VISTA PARK AVE
SIOUX FALLS SD 57106

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport Services
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 MITCH VANDEN BERGE
Signature Title TREASURER
Signature Date 6/29/18

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