FORM 1023-EZ for ROOTED IN CHEYENNE

Field Data
EIN 83-0801250
Case Number EO-2018247-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTED IN CHEYENNE
Organization’s Mailing Address 2101 ONEIL AVE
City CHEYENNE
State WY
ZIP 82001
Accounting period End 6
Primary contact name JAMES DINNEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK ELLISON
PRESIDENT/DIRECTOR
6437 KEVIN AVE
CHEYENNE WY 82001

Officer/Director/Trustee Two

KENNETH BURKE
VICE PRESIDENT/DIRECTOR
1114 DUSTY RD
CHEYENNE WY 82009

Officer/Director/Trustee Three

LAURA WAGNER
TREASURER/DIRECTOR
1209 W PERSHING
CHEYENNE WY 82001

Officer/Director/Trustee Four

JAMES DINNEEN
SECRETARYDIRECTOR
2121 VAN LENNEN
CHEYENNE WY 82001

Officer/Director/Trustee Five

JACOB MARES
DIRECTOR
1813 PARK AVE
CHEYENNE WY 82007

Organization’s website HTTPS://ROOTEDINCHEYENNE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 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 JAMES DINNEEN
Signature Title SECRETARYDIRECTOR
Signature Date 8/29/18

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