FORM 1023-EZ for SOUTHEAST IDAHO SENIOR GAMES INC

Field Data
EIN 82-3018953
Case Number EO-2018016-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEAST IDAHO SENIOR GAMES INC
Organization’s Mailing Address 427 N 6TH AVE
City POCATELLO
State ID
ZIP 83201-6269
Accounting period End 12
Primary contact name DANA OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA OLSON
GAMES ORGANIZER
1928 E PEBBLE DR
INKOM ID 83245-1955

Officer/Director/Trustee Two

DOUG MILDER
BOARD CHAIR
5140 MAHOGANY DR
POCATELLO ID 83204-5014

Officer/Director/Trustee Three

RAE MEYERS
BOARD SECRETARY
653 GALAXY CT
POCATELLO ID 83204-5083

Officer/Director/Trustee Four

JOHN BANKS
BOARD TREASURER
1922 N TATONKA LANE
INKOM ID 83245-1802

Organization’s website WWW.SEIDAHOSENIORGAMES.ORG
Organization’s email SOUTHEASTIDAHOSENIORGAMES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/17
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DANA OLSON
Signature Title GAMES ORGANIZER
Signature Date 1/11/18

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