FORM 1023-EZ for MOODY COUNTY CARES

Field Data
EIN 84-1866257
Case Number EO-2019148-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOODY COUNTY CARES
Organization’s Mailing Address 505 S WIND STREET
City FLANDREAU
State SD
ZIP 57028
Accounting period End 12
Primary contact name JASON UNGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN BLANKENFELD
CHAIR
505 S WIND ST
FLANDREAU SD 57028

Officer/Director/Trustee Two

KARI BURGGRAFF
SECRETARY
306 S VETERANS ST
FLANDREAU SD 57028

Officer/Director/Trustee Three

MARTY SKORCH
TREASURER
627 E PIPESTONE AVE
FLANDREAU SD 57028

Officer/Director/Trustee Four

JASON UNGER
OFFICER
811 W PIPESTONE
AVE SD 57028

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
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 JASON UNGER
Signature Title OFFICER
Signature Date 5/23/19

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