FORM 1023-EZ for CARPE MORTEM

Field Data
EIN 84-2967464
Case Number EO-2020069-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARPE MORTEM
Organization’s Mailing Address 2722 GREEN VALLEY PARKWAY STE50065
City HENDERSON
State NV
ZIP 89014-9997
Accounting period End 10
Primary contact name LEONEL PARADIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONEL PARADIS
PRESIDENT
2408 EL BRIO CT
HENDERSON NV 89014-3603

Officer/Director/Trustee Two

DEREK PRUCHA PRUCHA
SECRETARY
5891 ABLETTA AVE
LAS VEGAS NV 89122-6150

Officer/Director/Trustee Three

RICK SHELTON
VICE PRESIDENT
5212 HACKBERRY HILL AVE
LAS VEGAS NV 89131-2775

Officer/Director/Trustee Four

BRAD KOCH
TREASURER
392 LOST HORIZON AVE
HENDERSON NV 89002-9733

Officer/Director/Trustee Five

RON MEYERS
BOARD MEMBER
7858 SHINGLE BEACH ST
LAS VEGAS NV 89166-5089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 LEONEL PARADIS
Signature Title PRESIDENT
Signature Date 3/6/2020

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