FORM 1023-EZ for CHAUTAUQUA CRAFTSMEN AND ARTISANS OF THE BLACK HILLS INC

Field Data
EIN 81-1360106
Case Number EO-2016132-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAUTAUQUA CRAFTSMEN AND ARTISANS OF THE BLACK HILLS INC
Organization’s Mailing Address 629 NORTH RIVER STREET
City HOT SPRINGS
State SD
ZIP 57747
Accounting period End 12
Primary contact name THERESA L SLAGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA SLAGEL
PRESIDENT
2226 DORAN ROAD
HOT SPRINGS SD 57747

Officer/Director/Trustee Two

RHONDA KOCOUREK
TREASURER
PO BOX 59
HOT SPRINGS SD 57747

Officer/Director/Trustee Three

PHYLLIS BOERNKE
VICEPRESIDENT/SECRETARY
1410 BALTIMORE AVE
HOT SPRINGS SD 57747

Officer/Director/Trustee Four

CHRISTINE HEIDEBRINK
DIRECTOR
1601 WASHINGTON AVE
HOT SPRINGS SD 57747

Officer/Director/Trustee Five

GAIL PINKLETON
DIRECTOR
209 S 16TH STREET
HOT SPRINGS SD 57747

Organization’s website WWW.CHAUTAUQUACRAFTSMEN.ORG
Organization’s email CCABH@GOLDENWEST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2016
Organization Incorporation State SD
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: Yes
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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