FORM 1023-EZ for MONTANA MOSQUITO VECTOR CONTROL ASSOCIATION

Field Data
EIN 81-1017361
Case Number EO-2020183-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTANA MOSQUITO VECTOR CONTROL ASSOCIATION
Organization’s Mailing Address 279 VAUGHN S FRONTAGE ROAD
City GREAT FALLS
State MT
ZIP 59404
Accounting period End 4
Primary contact name JOSHUA BLYSTONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA BLYSTONE
SECRETARY/TREASURER
279 VAUGHN S FRONTAGE ROAD
GREAT FALLS MT 59404

Officer/Director/Trustee Two

ANTHONY GERMANN
PRESIDENT
279 VAUGHN S FRONTAGE ROAD
GREAT FALLS MT 59404

Officer/Director/Trustee Three

JAKE RUBOW
PRESIDENT ELECT
40 11TH STREET WEST SUITE 210
KALISPELL MT 59901

Officer/Director/Trustee Four

JILL ALLEN
VICE PRESIDENT
PO BOX H
BOULDER MT 59632

Officer/Director/Trustee Five

JANICE STROUD
PAST SECRETARY/TREASURER
556 CHICKADEE LANE
VICTOR MT 59875

Organization’s website
Organization’s email JBLYSTONE@CASCADECOUNTYMT.GOV
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JOSHUA BLYSTONE
Signature Title SECRETARY/TREASURER
Signature Date 6/29/2020
EIN 81-1017361
Case Number EO-2017116-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTANA MOSQUITO VECTOR CONTROL ASSOCIATION
Organization’s Mailing Address 556 CHICKADEE LANE
City VICTOR
State MT
ZIP 59875
Accounting period End 12
Primary contact name KEELEY MCKAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID SULLIVAN
EXECUTIVE DIRECTOR
98 NORTH KENNEDY
BELGRADE MT 59714

Officer/Director/Trustee Two

TERRY TURNER
PRESIDENT
1405 W 2ND
HAVRE MT 59501

Officer/Director/Trustee Three

STONE TIHISTA
PRESIDENT ELECT
501 COURT SQUARE
GLASGOW MT 59230

Officer/Director/Trustee Four

JOSHUA BLYSTONE
VICE PRESIDENT
279 VAUGHN S FRONTAGE RD
GREAT FALLS MT 59404

Officer/Director/Trustee Five

JANICE STROUD
SECRETARY
556 CHICKADEE LN
VICTOR MT 59875

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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