FORM 1023-EZ for PARK ELEMENTARY DLI STUDENT TRIP

Field Data
EIN 83-4245381
Case Number EO-2019115-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARK ELEMENTARY DLI STUDENT TRIP
Organization’s Mailing Address 203 W 14TH ST
City CASPER
State WY
ZIP 82601-4201
Accounting period End 12
Primary contact name ZACH SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY SCHULTZ
TREASURER
203 W 14TH ST
CASPER WY 82601-4201

Officer/Director/Trustee Two

APRIL RAMOS
PRESIDENT
7413 RIVERSIDE DR
CASPER WY 82604-9304

Officer/Director/Trustee Three

JESSICA SORENSON
VICE PRESIDENT
2149 LEXINGTON
CASPER WY 82609-2947

Officer/Director/Trustee Four

MELISSA KEITH
SECRETARY
1130 BELLA VISTA
CASPER WY 82601-5314

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 ZACHARY SCHULTZ
Signature Title TREASURER
Signature Date 4/23/19

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