FORM 1023-EZ for UNION MINE JUNIOR RATTLERS

Field Data
EIN 47-5664464
Case Number EO-2015331-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNION MINE JUNIOR RATTLERS
Organization’s Mailing Address 6100 ENTERPRISE DRIVE SUITE D
City DIAMOND SPRINGS
State CA
ZIP 95619
Accounting period End 12
Primary contact name NICK THOMSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICK THOMSEN
PRESIDENT
4541 CANYON VALLEY ROAD
DIAMOND SPRINGS CA 95619

Organization’s website JRRATTLERS.COM
Organization’s email PRESIDENT.UMJR@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E05 - Research Institutes and/or Public Policy Analysis
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 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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