FORM 1023-EZ for MITCH INC

Field Data
EIN 26-3497448
Case Number EO-2014297-000523
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITCH INC
Organization’s Mailing Address 25447 476TH AVE
City BALTIC
State SD
ZIP 57003
Accounting period End 12
Primary contact name KRIS INFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DON RILEY
PRESIDENT
25447 476TH AVE
BALTIC SD 57003

Officer/Director/Trustee Two

LISA RILEY
VICE PRESIDENT
25447 476TH AVE
BALTIC SD 57003

Officer/Director/Trustee Three

CINDY DAWSON
DIRECTOR
2604 EAST AUGUSTA STREET
BRANDON SD 57005

Officer/Director/Trustee Four

CHAD LEE
DIRECTOR
301 DEER RIDGE DRIVE NW
BONDURANT IA 53005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2008
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L24 -
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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