FORM 1023-EZ for KIDS CHANCE OF MONTANA

Field Data
EIN 82-1196298
Case Number EO-2017135-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS CHANCE OF MONTANA
Organization’s Mailing Address P O BOX 7224
City HELENA
State MT
ZIP 59604
Accounting period End 12
Primary contact name PETER J VAN NICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER VAN NICE
DIRECTOR
1368 BEAVERHEAD RD
HELENA MT 59602

Officer/Director/Trustee Two

VICKI EVANS
DIRECTOR
P O BOX 1748
GREAT FALLS MT 59401

Officer/Director/Trustee Three

MICHAEL MARSH
DIRECTOR
P O BOX 20151
BILLINGS MT 59104

Officer/Director/Trustee Four

KEITH BROWNFIELD
DIRECTOR
210 S WINCHESTER
MILES CITY MT 59301

Officer/Director/Trustee Five

JASON MERKEL
DIRECTOR
1315 NORTH LAST CHANCE
HELENA MT 59694

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 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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