FORM 1023-EZ for MISSION VALLEY JUNIOR GOLF INC

Field Data
EIN 81-1223255
Case Number EO-2017009-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION VALLEY JUNIOR GOLF INC
Organization’s Mailing Address 111 BAYVIEW DRIVE
City POLSON
State MT
ZIP 59860
Accounting period End 12
Primary contact name CAMERON MILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY DOOLEY
DIRECTOR
704 3RD AVE EAST SUITE B
POLSON MT 59860

Officer/Director/Trustee Two

ROBERT BYERS
DIRECTOR
PO BOX 1274
POLSON MT 59860

Officer/Director/Trustee Three

CODY BROWN
VICE PRESIDENT
1401 11TH AVE EAST
POLSON MT 59860

Officer/Director/Trustee Four

LARRY ASHCRAFT
DIRECTOR
503 BAYVIEW DRIVE
POLSON MT 59860

Officer/Director/Trustee Five

TODD BASSETT
PRESIDENT
40388 BRIARWOOD CIRCLE
POLSON MT 59860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 Yes
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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