FORM 1023-EZ for WIIGS DBA HAIRY BOOBS

Field Data
EIN 81-1587155
Case Number EO-2016112-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WIIGS DBA HAIRY BOOBS
Organization’s Mailing Address 27534 US HWY 287
City LAMAR
State CO
ZIP 80152
Accounting period End 12
Primary contact name SHAWNA HODGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAWNA HODGE
VICE PRESIDENT
4383 TENNYSON STREET UNIT 2-G
DENVER CO 80212

Officer/Director/Trustee Two

DIANA WOLLER
PRESIDENT
27534 HWY 287
LAMAR CO 81052

Officer/Director/Trustee Three

CASSIE LOOPER
TREASURER
8255 COUNTY RD SS
LAMAR CO 81052

Officer/Director/Trustee Four

TERESA RITCHIE
DIRECTOR
693 PRESTON MEADOWS RD
SHERMAN TX 75092

Officer/Director/Trustee Five

CRISSY STEGMAN
SECRETARY
6866 COUNTYY RD HH5
LAMAR CO 80152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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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