FORM 1023-EZ for THE THIRD SPACE

Field Data
EIN 82-5472672
Case Number EO-2018130-000528
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE THIRD SPACE
Organization’s Mailing Address PO BOX 1456
City MISSOULA
State MT
ZIP 59806
Accounting period End 12
Primary contact name KELLY BOUMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BOUMA
DIRECTOR
536 BLAINE ST
MISSOULA MT 59801

Officer/Director/Trustee Two

SARAH LLOYD
DIRECTOR
825 CRESTMONT WAY UNIT C
MISSOULA MT 59803

Officer/Director/Trustee Three

KEN GRINDE
DIRECTOR
708 S 5TH ST W
MISSOULA MT 59801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6E - Performing Arts Schools
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 KELLY BOUMA
Signature Title DIRECTOR
Signature Date 5/8/18

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