FORM 1023-EZ for COPPER QUEEN 1915 INC

Field Data
EIN 81-2979360
Case Number EO-2016172-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COPPER QUEEN 1915 INC
Organization’s Mailing Address 138 NORTH BYBEE
City YERINGTON
State NV
ZIP 89447
Accounting period End 10
Primary contact name JOSEPH A MACDUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTEW KLAHN
PRESIDENT
138 NORTH BYBEE
YERINGTON NV 89447

Officer/Director/Trustee Two

MITCHELL MILLER
SECRETARY
110 MASON ROAD
YERINGTON NV 89447

Officer/Director/Trustee Three

JOSEPH MACDUFF
TREASURER
38 STATE ROUTE 339
YERINGTON NV 89447

Organization’s website
Organization’s email ICHABODECV@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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
Signature Title
Signature Date

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