FORM 1023-EZ for CENTER FOR DISPUTE SOLUTIONS INC

Field Data
EIN 83-0324154
Case Number EO-2017212-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTER FOR DISPUTE SOLUTIONS INC
Organization’s Mailing Address 2781 DEMING BLVD
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name CORI ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORI ERICKSON
DIRECTOR SECRETARY
4574 N MACKENZIE LANE
BOISE ID 83703

Officer/Director/Trustee Two

BROOKE BARNEY
PRESIDENT DIRECTOR
247 COFFEEN AVE
SHERIDAN WY 82801

Officer/Director/Trustee Three

JANINE THOMPSON
TREASURER DIERCTOR
221 DOUBLETREE LANE
CHEYENNE WY 82009

Organization’s website WWW.C4DSI.ORG
Organization’s email CKERICKSON@C4DSI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/1998
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I51 - Dispute Resolution, Mediation Services
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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