FORM 1023-EZ for MEDICINE BUTTE CDC
| Field | Data |
|---|---|
| EIN | 83-3304434 |
| Case Number | EO-2019063-000588 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDICINE BUTTE CDC |
| Organization’s Mailing Address | 425 4TH ST N |
| City | NEWTOWN |
| State | ND |
| ZIP | 58763-90 |
| Accounting period End | 12 |
| Primary contact name | TOM PLENTY CHIEF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS PLENTY CHIEF
PRESIDENT
425 4TH ST N
NEW TOWN ND 58763-90
Officer/Director/Trustee Two
ROBERT FIMBRES
VICE PRESIDENT
425 5TH ST N
NEWTOWNN ND 58763-1301
Officer/Director/Trustee Three
MARGARET GONZALEZ-YELLOWBIRD
SECRETARY
31ST AVE NW
WHITE SHIELD ND 58775-322
Officer/Director/Trustee Four
JENNIFER WILKIE
TREASURER
516 4TH ST N
NEWTOWN ND 58763-1161
Officer/Director/Trustee Five
FERRIN WELLS
MEMBER AT LARGE
420 BAKERSFIELD DR
NEWTOWN ND 58763-224
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/28/18 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A23 - Cultural, Ethnic Awareness |
| 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 | THOMAS PLENTY CHIEF |
| Signature Title | PRESIDENT |
| Signature Date | 3/2/19 |
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