| Field | Data |
|---|---|
| EIN | 47-2184761 |
| Case Number | EO-2014345-000355 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFELINE CONNECTION OF THE BLACK HILLS |
| Organization’s Mailing Address | 2811 ORCHARD LANE |
| City | RAPID CITY |
| State | SD |
| ZIP | 57703 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA JURGENSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
PATRICIA JURGENSEN
PRESIDENT
2811 ORCHARD LANE
RAPID CITY SD 57703
TONI BROOM
TREASURER
4080 TWILIGHT DRIVE
RAPID CITY SD 57703
DEBRAH BAKER
VICE PRESIDENT
325 STUMER ROAD
RAPID CITY SD 57701
JACQUELINE MILLER
SECRETARY
15560 ANTELOPE CREEK
RAPID CITY SD 57703
JENNIFER UTTER
DIRECTOR
PO BOX 239
PIEDMONT SD 57769
| Organization’s website | |
|---|---|
| Organization’s email | LIFELINEBLACKHILLS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/2/2014 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| One Third Support Gifts | No |
| 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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