FORM 1023-EZ for WYOMING GAMING LIBRARY

Field Data
EIN 82-5108005
Case Number EO-2018115-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WYOMING GAMING LIBRARY
Organization’s Mailing Address 1603 CAPITOL AVE SUITE 310
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name BRADLEY KOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY KOCH
PRESIDENT
1500 AVENUE C LOT 35
CHEYENNE WY 82007

Officer/Director/Trustee Two

ZAVIER BATES
VICE PRESIDENT
125A WHITE HALL
LARAMIE WY 82070

Officer/Director/Trustee Three

ROBERT MCKINNEY
SECRETARY
211 WALTERSCHIED BLVD APT H102
CHEYENNE WY 82007

Officer/Director/Trustee Four

JONATHAN HEDGER
TREASURER
4415 BOYSEN AVE
CHEYENNE WY 82001

Organization’s website WYOMINGGAMINGLIBRARY.ORG
Organization’s email BRAD@WYOMINGGAMINGLIBRARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 BRADLEY KOCH
Signature Title PRESIDENT
Signature Date 4/23/18

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