FORM 1023-EZ for COUGAR CUBS DAYCARE CENTER INC

Field Data
EIN 83-0758697
Case Number EO-2018162-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUGAR CUBS DAYCARE CENTER INC
Organization’s Mailing Address 403 BIRDSELL ST
City BONESTEEL
State SD
ZIP 57317
Accounting period End 12
Primary contact name JOHN BALDWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BALDWIN
PRESIDENT
35942 300TH ST
BONESTEEL SD 57317

Officer/Director/Trustee Two

JAMIE DIVINE
VICE PRESIDENT
200 1ST AVE
BONESTEEL SD 57317

Officer/Director/Trustee Three

HEATHER FUHRER
SECRETARY
204 FRANCIS AVE
BONESTEEL SD 57317

Officer/Director/Trustee Four

HILARY BROOKS
TREASURER
PO BOX 202
BONESTEEL SD 57317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
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 JOHN BALDWIN
Signature Title PRESIDENT
Signature Date 6/7/18

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