FORM 1023-EZ for PRONGHORN ARCHERY CLUB

Field Data
EIN 83-0331498
Case Number EO-2015064-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRONGHORN ARCHERY CLUB
Organization’s Mailing Address 4706 S DOUGLAS HWY
City GILLETTE
State WY
ZIP 82718
Accounting period End 11
Primary contact name ANDY TURNQUIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDY TURNQUIST
PRESIDENT
2060 WOLFF ROAD
GILLETTE WY 82718

Officer/Director/Trustee Two

BRETT MONTEY
DIRECTOR
607 4J ROAD
GILLETTE WY 82716

Officer/Director/Trustee Three

NORM TILLMAN
DIRECTOR
1790 WOLFF RD
GILLETTE WY 82718

Officer/Director/Trustee Four

CHAD COODY
DIRECTOR
4404 J CROSS
GILLETTE WY 82718

Officer/Director/Trustee Five

JON TUCEK
DIRECTOR
2374 MAHOGANY
GILLETTE WY 82718

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2000
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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