FORM 1023-EZ for RIM COUNTRY CAMERA CLUB

Field Data
EIN 82-5125960
Case Number EO-2021148-000636
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIM COUNTRY CAMERA CLUB
Organization’s Mailing Address 1112 S MUD SPRINGS RD
City PAYSON
State AZ
ZIP 85541-5764
Accounting period End 12
Primary contact name SALLIE LOMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL KJELLSTROM
PRESIDENT
1810 DESERT MIMOSA DR
PAYSON AZ 85541-5764

Officer/Director/Trustee Two

SALLIE LOMAN
TREASURER
1112 S MUD SPRINGS RD
PAYSON AZ 85541-5764

Officer/Director/Trustee Three

PAM STOVALL
SECRETARY
1000 N HILLCREST DR
PAYSON AZ 85541

Officer/Director/Trustee Four

SUE ZEN
VICE PRESIDENT
809 S GREENFAIRE CIR
PAYSON AZ 85541

Officer/Director/Trustee Five

SHELLY POORE
DIRECTOR
418 E TIMBER DR
PAYSON AZ 85541

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 SALLIE LOMAN
Signature Title TREASURER
Signature Date 5/27/2021

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