FORM 1023-EZ for GRASS BENDER INCORPORATED

Field Data
EIN 47-3092155
Case Number EO-2015079-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRASS BENDER INCORPORATED
Organization’s Mailing Address POST OFFICE BOX 1218
City BROWNING
State MT
ZIP 59417-1218
Accounting period End 12
Primary contact name SHANNON JAMES AUGARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON AUGARE
FOUNDER AND CEO
POST OFFICE BOX 1218
BROWNING MT 59417-1218

Officer/Director/Trustee Two

ROGER RUNNING CRANE
BOARD CHAIRPERSON
POST OFFICE BOX 1218
BROWNING MT 59417-1218

Officer/Director/Trustee Three

LINDA MATT-JUNEAU
BOARD VICE-CHAIRPERSON
POST OFFICE BOX 1218
BROWNING MT 59417-1218

Officer/Director/Trustee Four

REIS FISHER
BOARD SECRETARY-TREASURER
POST OFFICE BOX 1218
BROWNING MT 59417-1218

Officer/Director/Trustee Five

MARILYN PARSONS
BOARD OF DIRECTOR
POST OFFICE BOX 1218
BROWNING MT 59417-1218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
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
Signature Title
Signature Date

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