FORM 1023-EZ for CITIZENS FOR FAIR WATER

Field Data
EIN 81-2932838
Case Number EO-2016195-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITIZENS FOR FAIR WATER
Organization’s Mailing Address 463 RIDGE RD
City STEVENSVILLE
State MT
ZIP 59870-6106
Accounting period End 12
Primary contact name SHANE BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CRESS
PRESIDENT
4248 LONE ROCK SCHOOL RD
STEVENSVILLE MT 59870-6106

Officer/Director/Trustee Two

JIM ROKOSCH
VICE PRESIDENT
463 RIDGE RD
STEVENSVILLE MT 59870-6106

Officer/Director/Trustee Three

SHANE BROOKS
SECRETARY
4746 HOOVER LN
STEVENSVILLE MT 59870-6133

Officer/Director/Trustee Four

Shane Brooks

4746 Hoover Ln

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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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