FORM 1023-EZ for SIOUX VALLEY COMMUNITY ACTION TEAM

Field Data
EIN 36-4743316
Case Number EO-2014300-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIOUX VALLEY COMMUNITY ACTION TEAM
Organization’s Mailing Address 21187 462ND AVENUE
City VOLGA
State SD
ZIP 57071
Accounting period End 12
Primary contact name CINDY FOERSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARA OPITZ
PRESIDENT
700 ASTRACHAN AVENUE
VOLGA SD 57071

Officer/Director/Trustee Two

JARED KNUTSON
VICE PRESIDENT
517 E 1ST STREET
VOLGA SD 57071

Officer/Director/Trustee Three

KARI KNUTSON
SECRETARY
517 E 1ST STREET
VOLGA SD 57071

Officer/Director/Trustee Four

LARRY MCCLURE
TREASURER
21187 462ND AVENUE
VOLGA SD 57071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2012
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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