FORM 1023-EZ for BASIN GOOD NEIGHBOR FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 83-2447245 |
| Case Number | EO-2018320-000096 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BASIN GOOD NEIGHBOR FOUNDATION INC |
| Organization’s Mailing Address | 200 NORTH ORCHARD |
| City | FARMINGTON |
| State | NM |
| ZIP | 87401 |
| Accounting period End | 12 |
| Primary contact name | MELVIN MOFFITT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELVIN MOFFITT
PRESIDENT
5500 MESA DEL OSO
FARMINGTON NM 87402
Officer/Director/Trustee Two
GARY MOFFITT
VICE PRESIDENT
6412 TEAR DROP CT
FARMINGTON NM 87402
Officer/Director/Trustee Three
FRAN MOFFITT
DIRECTOR
6412 TEAR DROP CT
FARMINGTON NM 87402
Officer/Director/Trustee Four
HAZEM SAID
DIRECTOR
78 ASPENGLOW BLVD 7
PAGOSA SPRINGS CO 81147
Officer/Director/Trustee Five
STACY CHANG
DIRECTOR
3105 N MESA VERDE AVE
FARMINGTON NM 87401
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/12/18 |
| Organization Incorporation State | NM |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MELVIN MOFFITT |
| Signature Title | PRESIDENT |
| Signature Date | 11/14/18 |
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