FORM 1023-EZ for FORT HALL ROAR

Field Data
EIN 83-0741248
Case Number EO-2019072-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT HALL ROAR
Organization’s Mailing Address 124 S JOHNSON AVE
City POCATELLO
State ID
ZIP 83204
Accounting period End 4
Primary contact name TRESSA GONZALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRESSA GONZALES
PRESIDENT
124 S JOHNSON AVE
POCATELLO ID 83204

Officer/Director/Trustee Two

ASHLIE BURWELL
VICE PRESIDENT
21 S 645 W WARD LANE
BLACKFOOT ID 83221

Officer/Director/Trustee Three

DARLA CATES
TREASURER
912 SAMBO RD
BLACKFOOT ID 83221

Officer/Director/Trustee Four

JESSICA FIRST
SECRETARY
359 W RESERVATION ROAD
POCATELLO ID 83202

Officer/Director/Trustee Five

NANCY MILLER WAHTOMY
MEMBER
202 W FERRYBUTTE ROAD
BLACKFOOT ID 83221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/17
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 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 TRESSA GONZALES
Signature Title PRESIDENT
Signature Date 3/11/19

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