FORM 1023-EZ for BACK COUNTRY HORSEMEN OF NEVADA CARSON VALLEY CHAPTER

Field Data
EIN 81-1825348
Case Number EO-2017086-000568
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK COUNTRY HORSEMEN OF NEVADA CARSON VALLEY CHAPTER
Organization’s Mailing Address 1385 KIM PLACE
City MINDEN
State NV
ZIP 89423-9006
Accounting period End 12
Primary contact name JOHN REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHIP HERZIG
PRESIDENT
1280 STATE ROUTE 208
YERINGTON NV 89447

Officer/Director/Trustee Two

MIKE ARKELL
VICE PRESIDENT
410 CHERYL WAY
STAGECOACH NV 89426

Officer/Director/Trustee Three

CAROL VICKREY
SECRETARY
PO BOX 2574
MINDEN NV 89423

Officer/Director/Trustee Four

JOHN REID
TRESURER
1385 KIM PLACE
MINDEN NV 89423-9006

Officer/Director/Trustee Five

VALLERIE WOLVERTON
DIRECTOR
601 DREW WAY
CARSON CITY NV 89701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 Yes
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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