FORM 1023-EZ for BEAR PAW BOWMEN ARCHERY CLUB

Field Data
EIN 81-1217136
Case Number EO-2016028-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAR PAW BOWMEN ARCHERY CLUB
Organization’s Mailing Address 1865 US HWY 2 EAST
City HAVRE
State MT
ZIP 59501
Accounting period End 12
Primary contact name CLYDE R THOMAS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLYDE R THOMAS JR
PRESIDENT
1695 11TH ST W
HAVRE MT 59501

Officer/Director/Trustee Two

NICK SIEBRASSE
VICE PRESIDENT
4996 BULLHOOK RD
HAVRE MT 59501

Officer/Director/Trustee Three

AMY DANIEL
SECRETARY
185 COUNTY RD 462 W
HAVRE MT 59501

Officer/Director/Trustee Four

VICKY THOMAS
TREASURER
1695 11TH ST W
HAVRE MT 59501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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