FORM 1023-EZ for TEAM MONTANA ROLLER DERBY

Field Data
EIN 82-3013260
Case Number EO-2018052-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM MONTANA ROLLER DERBY
Organization’s Mailing Address 2945 WEAVER AVE
City BILLINGS
State MT
ZIP 59101-6825
Accounting period End 12
Primary contact name AUSTIN HEIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSTIN HEIL
PRESIDENT
2945 WEAVER AVE
BILLINGS MT 59101-6825

Officer/Director/Trustee Two

ASHLEY MASHEK
VICE PRESIDENT
3920 2ND AVE S
BILLINGS MT 59101-2743

Officer/Director/Trustee Three

KARI HAMMER
SECRETARY
1310 COLUMBIA MOUNTAIN RD
COLUMBIA FALLS MT 59912-4386

Organization’s website
Organization’s email TMROLLERDERBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/17
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 ASHLEY MASHEK
Signature Title VICE PRESIDENT
Signature Date 2/19/18

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