FORM 1023-EZ for SALMON COMMUNITY DINNER TABLE INC

Field Data
EIN 82-4609001
Case Number EO-2018257-000445
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALMON COMMUNITY DINNER TABLE INC
Organization’s Mailing Address 200 FULTON STE 202
City SALMON
State ID
ZIP 83467
Accounting period End 12
Primary contact name KATIE HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAYNE HOLMES
CHAIRMAN
1609 SHOUP ST
SALMON ID 83467

Officer/Director/Trustee Two

JEFF BURCH
VICE CHAIRMAN
33 RUBY LANE
SALMON ID 83467

Officer/Director/Trustee Three

SHARON MONROY
SECRETARY
PO BOX 1056
SALMON ID 83467

Officer/Director/Trustee Four

KATIE HOFFMAN
TREASURER
300 HWY 93 S
SALMON ID 83467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATIE HOFFMAN
Signature Title TREASURER
Signature Date 9/12/18

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