FORM 1023-EZ for WHITE MOUNTAIN RAINBOW HOUSE INC

Field Data
EIN 82-4779095
Case Number EO-2018108-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE MOUNTAIN RAINBOW HOUSE INC
Organization’s Mailing Address 1651 EAST DEUCE OF CLUBS APT 106
City SHOW LOW
State AZ
ZIP 85901
Accounting period End 12
Primary contact name MATTHEW PINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW PINO
PRESIDENT/TREASURER/DIRECTOR
1651 EAST DEUCE OF CLUBS APT 106
SHOW LOW AZ 85901

Officer/Director/Trustee Two

CAMERON GILBERT
SECRETARY/DIRECTOR
4161 WEST MOGOLLON DR
SHOW LOW AZ 85901

Officer/Director/Trustee Three

CAROL KOZAKIEWICZ
DIRECTOR
1332 E WHITE TAIL LN
PINETOP AZ 85935

Officer/Director/Trustee Four

SHIZUKO ALDRIDGE
DIRECTOR
2700 SOUTH WHITE MOUNTAIN RD 1123
SHOW LOW AZ 85901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATTHEW PINO
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 3/19/18

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