FORM 1023-EZ for GARDEN VALLEY SYRINGA CLUB INC

Field Data
EIN 83-1608588
Case Number EO-2018239-000713
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARDEN VALLEY SYRINGA CLUB INC
Organization’s Mailing Address 342 VILLAGE CIRCLE
City GARDEN VALLEY
State ID
ZIP 83622
Accounting period End 12
Primary contact name BEVERLEY M PELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLO GLAUSER
BOARD OF DIRECTOR
PO BOX 1234
GARDEN VALLEY ID 83622

Officer/Director/Trustee Two

JAYNIE CARLSON
BOARD OF DIRECTOR
510 PACKER JOHN DRIVE
GARDEN VALLEY ID 83622

Officer/Director/Trustee Three

BEVERLEY PELLEY
BOARD OF DIRECTOR
37 RIVER RANCH RD
GARDEN VALLEY ID 83622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
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 BEVERLEY PELLEY
Signature Title BOARD OF DIRECTOR
Signature Date 8/24/18

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