FORM 1023-EZ for WHITEFISH SAFE GRAD NIGHT

Field Data
EIN 81-1245948
Case Number EO-2016032-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITEFISH SAFE GRAD NIGHT
Organization’s Mailing Address PO BOX 4185
City WHITEFISH
State MT
ZIP 59937
Accounting period End 12
Primary contact name DARIA PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAMERON BLAKE
PRESIDENT
PO BOX 1480
WHITEFISH MT 59937

Officer/Director/Trustee Two

LINDA ENGH-GRADY
VICE PRESIDENT
785 NORTHWOODS DR
WHITEFISH MT 59937

Officer/Director/Trustee Three

DARIA PEREZ
SECRETARY/TREASURER
2318 HOUSTON POINT DR
WHITEFISH MT 59937

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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
Signature Title
Signature Date

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