FORM 1023-EZ for PLAY2WYOMING

Field Data
EIN 81-3076839
Case Number EO-2018253-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLAY2WYOMING
Organization’s Mailing Address PO BOX 1016
City CODY
State WY
ZIP 82414
Accounting period End 12
Primary contact name SAM MCCLURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BART GRENZ
PRESIDENT
913 SPRUCE DRIVE
CODY WY 82414

Officer/Director/Trustee Two

SAM MCCLURE
TREASURER
PO BOX 1016
CODY WY 82414

Officer/Director/Trustee Three

ANDY SCHRODER
DIRECTOR
801 RIVERVIEW DR
CODY WY 82414

Officer/Director/Trustee Four

JEREMIAH JOHNSTON
VICE PRESIDENT
41 SPICER LANE
CODY WY 82414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/16
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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 SAM MCCLURE
Signature Title TREASURER
Signature Date 9/6/18

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