FORM 1023-EZ for THE CANTON SENIOR CITIZENS CENTER

Field Data
EIN 47-3944246
Case Number EO-2015133-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CANTON SENIOR CITIZENS CENTER
Organization’s Mailing Address 215 E 4TH STREET
City CANTON
State SD
ZIP 57013-1711
Accounting period End 6
Primary contact name ROGER SIMUNEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER SIMUNEK
PRESIDENT
28295 480TH AVE
CANTON SD 57013

Officer/Director/Trustee Two

MARCENE NELSON
TREASURER
1024 N KIDDER
CANTON SD 57013

Officer/Director/Trustee Three

CAROL OLMSTEAD
SECRETARY
503 E POPLAR APT 108
CANTON SD 57013

Officer/Director/Trustee Four

MARILYN SCHULTZ
VICE PRESIDENT
1015 N DAKOTA
CANTON SD 57013

Officer/Director/Trustee Five

LISA ALDEN
DIRECTOR
1001 N KIDDER
CANTON SD 57013

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2015
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
One Third Support Gifts No
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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