FORM 1023-EZ for HCCP BACK PACH PROGRAM
| Field | Data |
|---|---|
| EIN | 37-1709712 |
| Case Number | EO-2017230-000154 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HCCP BACK PACH PROGRAM |
| Organization’s Mailing Address | PO BOX 8 |
| City | HAYTI |
| State | SD |
| ZIP | 57241 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA BIEDERSTEDT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GAIL KRAUSE
CHAIRMAN
18257 478TH AVE
CLEAR LAKE SD 57226-5430
Officer/Director/Trustee Two
PATRICIA BIEDERSTEDT
FINANCIAL OFFICER
PO BOX 143
HAYTI SD 57241-0143
Officer/Director/Trustee Three
JULIE JACOBSEN
FUNDRAISING COORDINATOR
PO BOX 113
LAKE NORDEN SD 57248-0113
Officer/Director/Trustee Four
ALYSSA MITTLEIDER
MEMBER
PO BOX 298
HAYTI SD 57241-0298
Officer/Director/Trustee Five
SHELBY WILHELM
MEMBER
PO BOX 298
HAYTI SD 57241-0298
| Organization’s website | |
|---|---|
| Organization’s email | HAMLINCOBACKPACH@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/1/2012 |
| Organization Incorporation State | SD |
| 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 | 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 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
