FORM 1023-EZ for MOUNTAINVIEW MEDCIAL CENTER FOUNDATION

Field Data
EIN 46-2403460
Case Number EO-2015121-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAINVIEW MEDCIAL CENTER FOUNDATION
Organization’s Mailing Address 16 W MAIN ST
City WHITE SULPHUR SPRING
State MT
ZIP 59645
Accounting period End 6
Primary contact name ROB BRANDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB BRANDT
EXECUTIVE DIRECTOR
16 W MAIN ST
WHITE SULPHUR SPRING MT 59645

Officer/Director/Trustee Two

HELEN HANSEN
SECRETARY
16 W MAIN ST
WHITE SULPHUR SPRING MT 59645

Officer/Director/Trustee Three

CAL MOORE
VICE CHAIR
16 W MAIN ST
WHITE SULPHUR SPRING MT 59645

Officer/Director/Trustee Four

DR JENNIFER BRUNSDON
BOARD OF DIRECTORS
16 W MAIN ST
WHITE SULPHUR SPRING MT 59645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2012
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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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