FORM 1023-EZ for CHEYENNE REBELS

Field Data
EIN 47-4228901
Case Number EO-2015166-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEYENNE REBELS
Organization’s Mailing Address 1101 28TH AVE
City CHEYENNE
State WY
ZIP 82001-2610
Accounting period End 5
Primary contact name CHINNA ROGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEGAN REVIS
PRESIDENT
3202 TERRY RD
CHEYENNE WY 82007-3645

Officer/Director/Trustee Two

ERIN GREY
VICE PRESIDENT
4757 PINERIDGE
CHEYENNE WY 82009-5214

Officer/Director/Trustee Three

PATRICIA GEYER
SECRETARY
3821 GUNSMOKE RD
CHEYENNE WY 82001-8580

Officer/Director/Trustee Four

NIKKI GILFILIAN
TREASURER
5506 LIBERTY STREET
CHEYENNE WY 82001-2286

Officer/Director/Trustee Five

CHINNA ROGAN
AUDITOR
5822 EASTLAND CT APT E
CHEYENE WY 82001-6087

Organization’s website
Organization’s email 1REBELSTRONG@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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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