FORM 1023-EZ for COLSTRIP MEDICAL CENTER FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-0545218 |
| Case Number | EO-2021118-000163 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLSTRIP MEDICAL CENTER FOUNDATION |
| Organization’s Mailing Address | 1858 |
| City | COLSTRIP |
| State | MT |
| ZIP | 59323 |
| Accounting period End | 6 |
| Primary contact name | JOHN D POOLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ELIZABETH REID
PRESIDENT
2326
COLSTRIP MT 59323-2326
Officer/Director/Trustee Two
NOELLE DAHLE
VICE PRESIDENT
390
COLSTRIP MT 59323-0390
Officer/Director/Trustee Three
DONALEEN ROGERS
SECRETARY
344
COLSTRIP MT 59323-0344
Officer/Director/Trustee Four
DAWN MALNOURIE
TRESURER
2144
COLSTRIP MT 59323-2144
Officer/Director/Trustee Five
JOHN POOLE
EX-OFFICIO
1858
COLSTRIP MT 59323-1858
| Organization’s website | WWW.COLSTRIPCLINIC.COM |
|---|---|
| Organization’s email | JOHN.POOLE@COLSTRIPCLINIC.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/16/2001 |
| Organization Incorporation State | MT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E20 - Hospitals and Related Primary Medical Care Facilities |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: Yes 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 | Yes |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | JOHN POOLE |
| Signature Title | EX-OFFICIO |
| Signature Date | 4/26/2021 |
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