FORM 1023-EZ for NORTHERN HILLS CHRISTIAN HOMESCHOOLERS

Field Data
EIN 20-8172379
Case Number EO-2016336-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN HILLS CHRISTIAN HOMESCHOOLERS
Organization’s Mailing Address 433 CANYON RD / BOX 1377
City SUNDANCE
State WY
ZIP 82729
Accounting period End 12
Primary contact name SHERRI DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRI DAVIS
TREASURER
433 CANYON RD / BOX 1377
SUNDANCE WY 82729

Officer/Director/Trustee Two

WANDA TRIMBLE
PRESIDENT
18670 PROVIDENCE LN
BELLE FOURCHE SD 57717

Officer/Director/Trustee Three

AMELIA MOORE
VICE PRESIDENT
19131 TRIO LN
BELLE FOURCHE SD 57717

Officer/Director/Trustee Four

VICKI FURNISH
SECRETARY
2310 BRIDGESTONE ST
SPEARFISH SD 57783

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/1999
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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