FORM 1023-EZ for HEADWATERS EAA CHAPTER 1657 INC

Field Data
EIN 86-1689311
Case Number EO-2021215-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEADWATERS EAA CHAPTER 1657 INC
Organization’s Mailing Address PO BOX 207
City MANHATTAN
State MT
ZIP 59741
Accounting period End 12
Primary contact name DOUGLAS WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS WILLIS
PRESIDENT
PO BOX 207
MANHATTAN MT 59741

Officer/Director/Trustee Two

DOUG CAIRNS
DIRECTOR
PO BOX 207
MANHATTAN MT 59741

Officer/Director/Trustee Three

DOUGLAS WILLIAMS
DIRECTOR
PO BOX 207
MANHATTAN MT 59741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2021
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 DOUGLAS WILLIAMS
Signature Title DIRECTOR
Signature Date 8/1/2021

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