FORM 1023-EZ for WHITEHALL COUNTRY STORE

Field Data
EIN 46-4445902
Case Number EO-2014308-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITEHALL COUNTRY STORE
Organization’s Mailing Address PO BOX 256
City WHITEHALL
State MT
ZIP 59759-0256
Accounting period End 12
Primary contact name RAYLYNN VAN OORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLENE MOLENDA
PRESIDENT DIRECTOR
PO BOX 229
WHITEHALL MT 59759-0229

Officer/Director/Trustee Two

MARJORIE DUFFEY
SECRETARY/TREASURER DIRECTOR
134 PARROT CASTLE ROAD
WHITEHALL MT 59759-9756

Officer/Director/Trustee Three

BARBARA BUHL
VICE PRESIDENT DIRECTOR
1115 MT HWY 55
WHITEHALL MT 59759-9745

Officer/Director/Trustee Four

LAURA CAPP
DIRECTOR
PO BOX 534
WHITEHALL MT 59759-0534

Officer/Director/Trustee Five

VERA JENSEN
DIRECTOR
PO BOX 1134
WHITEHALL MT 59759-1134

Organization’s website
Organization’s email RAYLYNNVO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2014
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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