FORM 1023-EZ for MIX SANTA FE

Field Data
EIN 83-3003162
Case Number EO-2019031-000522
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIX SANTA FE
Organization’s Mailing Address 1644 ST MICHAELS DRIVE
City SANTA FE
State NM
ZIP 87501
Accounting period End 6
Primary contact name DANIEL WERWATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL WERWATH
DIRECTOR
1611 CAMINO PORVENIR
SANTA FE NM 87505

Officer/Director/Trustee Two

KATE NOBLE
DIRECTOR
224 EPHRAIM ST
SANTA FE NM 87505

Officer/Director/Trustee Three

ZANE FISCHER
DIRECTOR
3094 AGUA FRIA ST
SANTA FE NM 87507

Organization’s website MIXSANTAFE.COM
Organization’s email MIX@MIXSANTAFE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State NM
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 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 DANIEL WERWATH
Signature Title DIRECTOR
Signature Date 1/3/19

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