FORM 1023-EZ for MOM CLUB

Field Data
EIN 86-2333670
Case Number EO-2021273-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOM CLUB
Organization’s Mailing Address 1017 E LYON
City LARAMIE
State WY
ZIP 82072
Accounting period End 4
Primary contact name ANNA CRAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA CRAMER
OWNER
1017 E LYON
LARAMIE WY 82072

Organization’s website MOMCLUBWYO.ORG
Organization’s email MOMCLUB18@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 No
Signature Name ANNA CRAMER
Signature Title OWNER
Signature Date 9/28/2021

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