FORM 1023-EZ for THE PINE BLUFFS BEAUTIFICATION ANDMEMORIAL FUND

Field Data
EIN 85-2533242
Case Number EO-2020237-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PINE BLUFFS BEAUTIFICATION ANDMEMORIAL FUND
Organization’s Mailing Address PO BOX 458
City PINE BLUFFS
State WY
ZIP 82082-0458
Accounting period End 12
Primary contact name LARRY SILVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY SILVEY
DIRECTOR
714 BONANZA TRAIL
CHEYENNE WY 82009-1605

Officer/Director/Trustee Two

BRIAN HEITHOFF
DIRECTOR
PO BOX 458
PINE BLUFFS WY 82082-0458

Officer/Director/Trustee Three

KEVIN MARQUARDT
DIRECTOR
PO BOX 458
PINE BLUFFS WY 82082-0458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2020
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: Yes
Religious: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARRY SILVEY
Signature Title DIRECTOR
Signature Date 8/21/2020

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