FORM 1023-EZ for MONTANA WATERS - MONTANA VETS INC

Field Data
EIN 81-3014785
Case Number EO-2016197-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTANA WATERS - MONTANA VETS INC
Organization’s Mailing Address P O BOX 1012
City HELENA
State MT
ZIP 59624-1012
Accounting period End 9
Primary contact name BERNARD JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNARD JACOBS
CHAIRPERSON
P O BOX 1591
HELENA MT 59624-1591

Officer/Director/Trustee Two

WADE INGRAHAM
VICE-CHAIRPERSON
3852 GRADESTAKE
EAST HELENA MT 59635

Officer/Director/Trustee Three

DEBRA POLHEMUS
SECRETARY TREASURER
23 MUELLER COURT
HELENA MT 59601

Officer/Director/Trustee Four

DUANE WOCK
DIRECTOR AT LARGE
898 STATE HIGHWAY 282
CLANCY MT 59634

Officer/Director/Trustee Five

KELLY DOWNING
DIRECTOR AT LARGE
352 BEST PLACE ROAD
HELENA MT 59602

Organization’s website N/A
Organization’s email BAJER414@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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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