FORM 1023-EZ for SIOUX NATION LEATHERNECKS

Field Data
EIN 46-2070912
Case Number EO-2016236-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIOUX NATION LEATHERNECKS
Organization’s Mailing Address PO BOX 90625
City SIOUX FALLS
State SD
ZIP 57109
Accounting period End 12
Primary contact name COREY BURCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD BIRD
PRESIDENT
603 BARLETT
CANTON SD 57013

Officer/Director/Trustee Two

ROGER BERHENS
VICE PRESIDENT
5105 WEST BENT GRASS
SIOUX FALLS SD 57107

Officer/Director/Trustee Three

TROY WEAVER
SECRETARY
2201 S ARBOR CIRCLE
SIOUX FALLS SD 57106

Officer/Director/Trustee Four

COREY BRUCE
TREASURER
1013 SOUTH CLOVER
SIOX FALLS SD 57110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2011
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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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