FORM 1023-EZ for EVANSTON SPLASH PAD FUND

Field Data
EIN 81-3847232
Case Number EO-2017114-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVANSTON SPLASH PAD FUND
Organization’s Mailing Address 4221 ALMY ROAD 107
City EVANSTON
State WY
ZIP 82930-8914
Accounting period End 12
Primary contact name DUSTIN MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITANY ERICKSON
PRESIDENT
101 HARRISON DRIVE
EVANSTON WY 82930-8914

Officer/Director/Trustee Two

DUSTIN MATTHEWS
VICE PRESIDENT
4221 ALMY ROAD 107
EVANSTON WY 82930-8914

Officer/Director/Trustee Three

ANDY KOPP
2ND VICE PRESIDENT
110 CARRIAGE DRIVE
EVANSTON WY 82930-8914

Officer/Director/Trustee Four

PENNY WILLIAMS
TREASURER
1013 UINTA STREET
EVANSTON WY 82930-8914

Officer/Director/Trustee Five

SANDRA MATTHEWS
SECRETARY
4221 ALMY ROAD 107
EVANSTON WY 82930-8914

Organization’s website
Organization’s email EVANSTONSPLASHPAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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