FORM 1023-EZ for PARK COUNTY SUMMER SIZZLER

Field Data
EIN 47-4243562
Case Number EO-2017116-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARK COUNTY SUMMER SIZZLER
Organization’s Mailing Address 1751 LANE 10
City POWELL
State WY
ZIP 82435
Accounting period End 12
Primary contact name TONI PERRINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS MEHLING
VICE PRESIDENT
969 LANE 11
POWELL WY 82435

Officer/Director/Trustee Two

ERIC SCHAEFER
PRESIDENT
1751 LANE 10
POWELL WY 82435

Officer/Director/Trustee Three

ANDREA MEHLING
SECRETARY
969 LANE 11
POWELL WY 82435

Officer/Director/Trustee Four

HANNAH MADDOX
VOTING MEMBER
1751 LANE 10
POWELL WY 82435

Officer/Director/Trustee Five

TONI PERRINE
TREASURER
1751 LANE 10
POWELL WY 82435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2016
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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