FORM 1023-EZ for EMERGE CDA

Field Data
EIN 47-3622413
Case Number EO-2016047-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERGE CDA
Organization’s Mailing Address 208 N 4TH STREET
City COEUR DALENE
State ID
ZIP 83814
Accounting period End 12
Primary contact name MATTHEW HUTCHINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW HUTCHINSON
PRESIDENT
965 N VICTORIA DR
COEUR D'ALENE ID 83814

Officer/Director/Trustee Two

JEANNETTE DUNN
VICE PRESIDENT
420 N 8TH STREET
COEUR DALENE ID 83814

Officer/Director/Trustee Three

JOHN GROLLMUS
TREASURER
1931 W PACIFIC AVE
SPOKANE WA 99202

Officer/Director/Trustee Four

LAURA ASCHENBRENER
SECRETARY
724 E HASTINGS AVENUE
COEUR DALENE ID 83814

Officer/Director/Trustee Five

JENNIFER HEGSTED
DIRECTOR
2572 E GUNNISON PLACE
COEUR DALENE ID 83814

Organization’s website WWW.EMERGECDA.ORG
Organization’s email EMERGECDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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