FORM 1023-EZ for HEALTH DEMOGRAPHICS

Field Data
EIN 27-5363030
Case Number EO-2016232-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH DEMOGRAPHICS
Organization’s Mailing Address 930 4TH AVE
City HAVRE
State MT
ZIP 59501-4506
Accounting period End 12
Primary contact name PETER HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER HART
PRESIDENT
930 4TH AVE
HAVRE MT 59501-4506

Officer/Director/Trustee Two

PETER HART
SECRETARY
930 4TH AVE
HAVRE MT 59501-4506

Officer/Director/Trustee Three

SHANNON HART
TREASURER
930 4TH AVE
HAVRE MT 59501-4506

Organization’s website WWW.HDEMOG.ORG
Organization’s email PDHART@HDEMOG.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2013
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
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 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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