FORM 1023-EZ for MONDAK SENIORS

Field Data
EIN 82-2189882
Case Number EO-2017215-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONDAK SENIORS
Organization’s Mailing Address PO BOX 19
City FAIRVIEW
State MT
ZIP 59221
Accounting period End 12
Primary contact name ELLEN RASMUSSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLEN RASMUSSEN
PRESIDENT
35390 CO RD 147
FAIRVIEW MT 59221

Officer/Director/Trustee Two

ARLYS LEWIS
VICE PRESIDENT
BOX 279
FAIRVIEW MT 59221

Officer/Director/Trustee Three

LINDA SULLIVAN
SECRETARY
1003 PLEASANT AVE
FAIRVIEW MT 59221

Officer/Director/Trustee Four

ELISA BANYAI
TREASURER
BOX 591
FAIRVIEW MT 59221

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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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