FORM 1023-EZ for HEALTHY GRANITE COUNTY NETWORK

Field Data
EIN 84-3422952
Case Number EO-2019319-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY GRANITE COUNTY NETWORK
Organization’s Mailing Address PO BOX 176
City PHILIPSBURG
State MT
ZIP 59858
Accounting period End 6
Primary contact name KAYLA SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BREANNA HALL
CHAIR
445 CENTENNIAL AVE
BUTTE MT 59701

Officer/Director/Trustee Two

JODI OBERWEISER
VICE CHAIR
124 1ST STREET
DRUMMOND MT 59832

Officer/Director/Trustee Three

JENNIFER GRAHAM
SECRETARY
501 SCHNEPEL ST
PHILIPSBURG MT 59858

Officer/Director/Trustee Four

MARIA STOPPLER
TREASURER
310 S SANSOME STREET
PHILIPSBURG MT 59858

Officer/Director/Trustee Five

RICH MOLTENI
COMMUNITY MEMBER
PO BOX 927
PHILIPSBURG MT 59858

Organization’s website
Organization’s email PLANNINGGRANT@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER GRAHAM
Signature Title SECRETARY
Signature Date 11/13/19

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