FORM 1023-EZ for BURLINGTON VALLEY DEVELOPMENT ASSOCIATION

Field Data
EIN 83-0922447
Case Number EO-2018171-000659
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURLINGTON VALLEY DEVELOPMENT ASSOCIATION
Organization’s Mailing Address 101 WEST POPLAR
City BURLINGTON
State WY
ZIP 82411
Accounting period End 12
Primary contact name JAMES W REILLY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT W AAGARD
DIRECTOR
101 WEST POPLAR
BURLINGTON WY 82411

Officer/Director/Trustee Two

DON HIBBERT
DIRECTOR
101 WEST POPLAR
BURLINGTON WY 82411

Officer/Director/Trustee Three

JERRY GEORGE
DIRECTOR
101 WEST POPLAR
BURLINGTON WY 82411

Officer/Director/Trustee Four

JENNY BOOTH
DIRECTOR
101 WEST POPLAR
BURLINGTON WY 82411

Officer/Director/Trustee Five

COURTNEY ALLEN
DIRECTOR
101 WEST POPLAR
BURLINGTON WY 82411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/17
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT W AAGARD
Signature Title DIRECTOR
Signature Date 6/18/18

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