FORM 1023-EZ for GARDEN VALLEY OUTREACH CENTER

Field Data
EIN 45-2447495
Case Number EO-2018302-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARDEN VALLEY OUTREACH CENTER
Organization’s Mailing Address 32 BUNCH DR
City GARDEN VALLEY
State ID
ZIP 83622
Accounting period End 12
Primary contact name ANGELA WATERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA WATERS
DIRECTOR
32 BUNCH DRIVE
GARDEN VALLEY ID 83622

Officer/Director/Trustee Two

TRACY ROSS
OFFICER
20 SUMMER WIND
GARDEN VALLEY ID 83622

Officer/Director/Trustee Three

MELODY LOW
OFFICER
1042 OLD CROUCH RD
GARDEN VALLEY ID 83622

Officer/Director/Trustee Four

ORPHA BLANCHAT
OFFICER
27 MIDDLE FORK RIDGE
GARDEN VALLEY ID 83622

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/10
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
Donation of funds Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ANGELA WATERS
Signature Title DIRECTOR
Signature Date 10/26/18

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