FORM 1023-EZ for NAMI HAVRE

Field Data
EIN 45-3664347
Case Number EO-2019066-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI HAVRE
Organization’s Mailing Address 921 3RD STREET
City HAVRE
State MT
ZIP 59501
Accounting period End 12
Primary contact name CRYSTAL LAUFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL LAUFER
PRESIDENT AND DIRECTOR
921 3RD STREET
HAVRE MT 59501

Officer/Director/Trustee Two

CINDY FITZPATRICK
VICE PRESIDENT AND DIRECTOR
310 10TH AVE
HAVRE MT 59501

Officer/Director/Trustee Three

MICHAEL FELL
SECRETARY
620 12TH AVE
HAVRE MT 59501

Officer/Director/Trustee Four

JASON EVANS
DIRECTOR
921 3RD STREET
HAVRE MT 59501

Officer/Director/Trustee Five

PAM EVANS
DIRECTOR
921 3RD STREET
HAVRE MT 59501

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/12
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 CRYSTAL LAUFER
Signature Title PRESIDENT AND DIRECTOR
Signature Date 3/5/19

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