FORM 1023-EZ for MOVE TO HEAL SOUTH DAKOTA

Field Data
EIN 84-3832884
Case Number EO-2020212-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOVE TO HEAL SOUTH DAKOTA
Organization’s Mailing Address 1309 S GLENDALE AVE
City SIOUX FALLS
State SD
ZIP 57105-0316
Accounting period End 12
Primary contact name ALEX S HALBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYDNEY BARTUNEK
DIRECTOR
1309 S GLENDALE AVE
SIOUX FALLS SD 57105-0316

Officer/Director/Trustee Two

LISA CONLIN
DIRECTOR
1309 S GLENDALE AVE
SIOUX FALLS SD 57105-0316

Officer/Director/Trustee Three

MAKENZIE SMOOK
DIRECTOR
1309 S GLENDALE AVE
SIOUX FALLS SD 57105-0316

Officer/Director/Trustee Four

KRYSTA MILLER-WALLNER
DIRECTOR
1309 S GLENDALE AVE
SIOUX FALLS SD 57105-0316

Officer/Director/Trustee Five

LIZZY BAUER
DIRECTOR
1309 S GLENDALE AVE
SIOUX FALLS SD 57105-0316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: No
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 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 SYDNEY BARTUNEK
Signature Title DIRECTOR
Signature Date 5/28/2020

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