FORM 1023-EZ for BUTTE HIGH SILVER B S INC

Field Data
EIN 10-0947639
Case Number EO-2017177-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTTE HIGH SILVER B S INC
Organization’s Mailing Address 270 E PARK STREET SUITE 1
City BUTTE
State MT
ZIP 59701
Accounting period End 12
Primary contact name MATTHEW P PELLETIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN ERICSON
DIRECTOR
2640 GOODWIN STREET
BUTTE MT 59701

Officer/Director/Trustee Two

TIM DICK
DIRECTOR
2916 ELIZABETH WARREN
BUTTE MT 59701

Officer/Director/Trustee Three

SCOTT PAFFHAUSEN
DIRECTOR
2626 MOULTON STREET
BUTTE MT 59701

Officer/Director/Trustee Four

MATTHEW PELLETIER
DIRECTOR
107 WINKIE WAY
BUTTE MT 59701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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