FORM 1023-EZ for BROADWATER EDUCATIONAL FOUNDATION

Field Data
EIN 81-3354564
Case Number EO-2017009-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROADWATER EDUCATIONAL FOUNDATION
Organization’s Mailing Address 616 HELENA AVENUE SUITE 308
City HELENA
State MT
ZIP 59601-3654
Accounting period End 12
Primary contact name MARCIA MILLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BEATTY
PRESIDENT
211 FLYNN LANE
TOWNSEND MT 59644

Officer/Director/Trustee Two

CHUCK HARVEY
VICE PRESIDENT
50 SAUTTER LANE
TOWNSEND MT 59644

Officer/Director/Trustee Three

SAMANTHA RAUSER
SECRETARY
106 RAUSER LANE
TOWNSEND MT 59643

Officer/Director/Trustee Four

LISA LARSON
TREASURER
PO BOX 734
TOWNSEND MT 59644

Officer/Director/Trustee Five

JUDY GILLESPIE
DIRECTOR
212 N OAK STREET
TOWNSEND MT 59644

Organization’s website
Organization’s email BROADWATER EDFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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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