FORM 1023-EZ for DESTINATION CALDWELL INC

Field Data
EIN 46-4016488
Case Number EO-2016047-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESTINATION CALDWELL INC
Organization’s Mailing Address 16365 W LINDEN STREET
City CALDWELL
State ID
ZIP 83607
Accounting period End 12
Primary contact name KERI SMITH-SIGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERI SMITH-SIGMAN
PRESIDENT
16365 W LINDEN STREET
CALDWELL ID 83607

Officer/Director/Trustee Two

WARREN KOUBA
TREASURER
4983 BRONZE SPURWAY
NAMPA ID 83687

Officer/Director/Trustee Three

KEN WIEN
VICE PRESIDENT
16847 LONKEY LANE
CALDWELL ID 83607

Officer/Director/Trustee Four

TYLER MORGAN
SECRETARY
10555 RAIN SPRINGS STREET
NAMPA ID 83687

Officer/Director/Trustee Five

STEVE FULTZ
MEMBER
2723 E MARYLAND AVENUE
NAMPA ID 83686

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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