2023-09-14T14:48:13-05:00 2022-10-31 450250958 EIDE BAILLY LLP 401 N 31ST ST STE 1120 BILLINGS MT 591011281 990PF 2021-11-01 596138602 SAMPLE FOUNDATION INC SAMP 4062450550 PO BOX 279 BILLINGS MT 59103 BARBARA M SAMPLE EXECUTIVE DIRECTOR/PRESIDENT 4062450550 2023-09-13 1 BARBARA SAMPLE 999009999 RONALD J YATES JR CPA P00543293 4068962400 2023-09-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X 9686205 X 191185 8964 8964 135214 135214 10417 4602833 10417 6500 14164 11157 359944 165752 6500 0 0 0 4500 2250 2250 24111 24111 0 1792 1792 0 3889 0 538 268 0 34830 28421 2250 485585 485585 520415 28421 487835 -160471 137331 6500 49357 44216 44216 2471638 2471638 6584373 3180396 3025255 3054116 36500 33000 7389 3500 3500 5708780 5544609 9686205 10200 10200 0 X 5698580 5544609 0 0 0 0 5698580 5544609 5708780 5544609 5698580 -160471 6500 5544609 0 5544609 BNY MELLON - PUBLICLY TRADED SECURITIES 2021-09-13 2022-10-06 4592416 4592416 0 0 CAPITAL GAINS DIVIDENDS P 10417 10417 10417 10417 1909 0 1909 0 1909 3137 0 0 0 3137 X 0 1228 1228 0 0 0 0 0 0 0 0 0 0 0 1 1 MT 1 0 0 0 0 1 SAMPLEFOUNDATION.ORG BARBARA SAMPLE 4062450550 PO BOX 279 BILLINGS MT 59103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOSEPH S SAMPLE DECEASED 101322 606 HIGHLAND PARK DRIVE BILLINGS MT 59102 CHAIRMAN 0.10 0 0 0 BRIDGET SAMPLE JOYNER 1298 TAMMANY LN HAMILTON MT 59840 DIRECTOR 0.10 0 0 0 BARBARA SAMPLE 2517 IRVING PLACE BILLINGS MT 59102 EXEC. DIRECTOR/PRESIDENT 1.00 0 0 0 DAVID F SAMPLE 34174 CAMDEN LANE POLSON MT 59860 DIRECTOR 0.10 0 0 0 PATRICK G SAMPLE PO BOX 410 INDEX WA 98256 DIRECTOR 0.10 0 0 0 RONALD J YATES JR CPA PO BOX 7112 BILLINGS MT 591037112 TREASURER 0.10 0 0 0 NONE 0 NONE 0 0 6801506 3245458 0 10046964 0 0 10046964 150704 9896260 494813 494813 1909 1909 492904 6500 499404 0 499404 487835 0 487835 499404 0 0 4917 4917 487835 0 0 0 487835 0 4917 4917 0 0 0 0 0 6652 0 0 0 JOSEPH S SAMPLE DECEASED 101322 BARBARA SAMPLE DAVID F SAMPLE PATRICK G SAMPLE BARBARA SAMPLE PO BOX 279 BILLINGS MT 591030279 4062565567 LETTER GIVING ORGANIZATIONAL BACKGROUND AND PURPOSES, SPECIFIC NEED & AMOUNT REQUESTED. ATTACH 501(C)(3) IRS DETERMINATION LETTER. AUGUST 1 GENERALLY LIMITED TO ORGANIZATIONS IN THE STATE OF MONTANA & COLLIER COUNTY FLORIDA. NO GRANTS WILL BE PROVIDED TO RELIGIOUS OR POLITICAL ORGANIZATIONS OR TAX SUPPORTED INSTITUTIONS. 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WEST MISSOULA MT 59801 PC FREEDOM ON THE INSIDE 3468 REDLODGE YOUTH SOCCER PO BOX 2167 RED LODGE MT 59068 PC YOUTH SOCCER FIELD 5000 ROCKY MOUNTAIN COLLEGE 1511 POLY DRIVE BILLINGS MT 59102 PC SERVICES FOR ACADEMIC SUCCESS CULTURAL ENRICHMENT PROGRAM 3500 RONALD MCDONALD HOUSE CHARITIES OF WESTERN MONTANA 3003 FORT MISSOULA RD MISSOULA MT 59804 PC DESIGNATED 3000 SAFE HARBOR PO BOX 497 RONAN MT 59864 PC SECURITY & MAINTENANCE 12000 ST JOESPH HOSPITAL 6 13TH AVE E POLSON MT 59860 PC DESIGNATED 3500 START UP EVENT CENTER 14315 366TH AVE SE STARTUP WA 98293 PC DESIGNATED 1500 THOREAU ELEMENTARY PTO 3870 NAKOMA RD MADISON WI 53711 PC DESIGNATED 1000 UNIVERSITY OF MONTANA 950 ARTHUR AVE MISSOULA MT 59807 GOV DESIGNATED 1500 WATSON CHILDREN'S CENTER 4978 BUCKHOUSE LANE MISSOULA MT 59804 PC SEPTIC SYSTEM UPGRADE 8000 WESTERN MONTANA LGBT COMMUNITY CENTER 127 N HIGGINS ST STE 202 MISSOULA MT 59802 PC OWL VIDEO CONFERENCE CAMERA 999 YELLOWSTONE CASA INC PO BOX 688 BILLINGS MT 59103 PC SECURITY 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