FORM 1023-EZ for TRI-STATE GAMERS

Field Data
EIN 47-1432924
Case Number EO-2015079-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-STATE GAMERS
Organization’s Mailing Address 17504 DEER HOLLOW DR
City SIOUX CITY
State IA
ZIP 51109-9047
Accounting period End 1
Primary contact name MARK WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK WILSON
PRESIDENT
17504 DEER HOLLOW DR
SIOUX CITY IA 51109-9047

Officer/Director/Trustee Two

CHARLES THEMM
VICE-PRESIDENT
1414 1/2 SUMMIT ST
SIOUX CITY IA 51103

Officer/Director/Trustee Three

JORDAN GIBSON
OFFICER
3019 VIRGINA ST
SIOUX CITY IA 51104

Officer/Director/Trustee Four

JASON ROSAUER
OFFICER
1813 ROSS ST
SIOUX CITY IA 51103

Officer/Director/Trustee Five

JOSHUA LEHR
OFFICER
3805 4TH AVE APT 6
SIOUX CITY IA 51106

Organization’s website WWW.TRISTATEGAMERS.ORG
Organization’s email MARKWILSON1978@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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