FORM 1023-EZ for PROVISIONAL GOVERNMENT OF SANTA TERESA

Field Data
EIN 47-2313625
Case Number EO-2015054-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVISIONAL GOVERNMENT OF SANTA TERESA
Organization’s Mailing Address PO BOX 1362
City SANTA TERESA
State NM
ZIP 88008-1362
Accounting period End 1
Primary contact name MARY GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY GONZALEZ
PRESIDENT
124 ST ANDREWS DR
SANTA TERESA NM 88008-9609

Officer/Director/Trustee Two

KRAIG CARPENTER
VICE PRESIDENT
120 DESERT GARDEN
SANTA TERESA NM 88008-9432

Officer/Director/Trustee Three

JOHN ORTON
SECRETARY
124 IVY HILL COURT
SANTA TERESA NM 88008-9429

Officer/Director/Trustee Four

RONALD LOTITO
TREASURER
121 STAR SPIRIT RD
SANTA TERESA NM 88008-9312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W20 - Government and Public Administration
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 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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