FORM 1023-EZ for CFDM-NEVADA

Field Data
EIN 82-2168241
Case Number EO-2017206-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CFDM-NEVADA
Organization’s Mailing Address 969 ROCK LEDGE COURT
City HENDERSON
State NV
ZIP 89012
Accounting period End 6
Primary contact name DONALD T BARSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS GREGG
PRESIDENT
969 ROCK LEDGE COURT
HENDERSON NV 89012

Officer/Director/Trustee Two

DONALD BARSKY
FINANCE OFFICER
2936 HAWKSDALE DRIVE
LAS VEGAS NV 89134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2017
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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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