FORM 1023-EZ for EDGEMONT MINISTERIAL ASSOCIATION

Field Data
EIN 81-5328653
Case Number EO-2018340-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDGEMONT MINISTERIAL ASSOCIATION
Organization’s Mailing Address 410 4TH AVENUE PO BOX 248
City EDGEMONT
State SD
ZIP 57735
Accounting period End 12
Primary contact name STEPHANIE CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JO CORMIER
PRESIDENT
PO BOX 202
EDGEMONT SD 57735

Officer/Director/Trustee Two

GREG LACEY
SECRETARY
PO 251
EDGEMONT SD 57735

Officer/Director/Trustee Three

STEPHANIE CLARK
VICE PRESIDENT/TREASURER
PO BOX 248
EDGEMONT SD 57735

Officer/Director/Trustee Four

SUSAN MICHALEK
MEMBER
PO BOX 74
EDGEMONT SD 57735

Officer/Director/Trustee Five

JOHN AND MARJORY HOLMES
MEMBER
RURAL ROUTE
EDGEMONT SD 57735

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 SUSAN MICHALEK
Signature Title MEMBER
Signature Date 12/4/18

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