FORM 1023-EZ for CF MOM TRIBE INCORPORATED

Field Data
EIN 84-2075091
Case Number EO-2019169-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CF MOM TRIBE INCORPORATED
Organization’s Mailing Address 379 MONROE BLVD APT 8
City OGDEN
State UT
ZIP 84404
Accounting period End 12
Primary contact name PAIGE DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAIGE DUNN
PRESIDENT
379 MONROE BLVD APT 8
OGDEN UT 84404

Officer/Director/Trustee Two

MARTHA MODAWELL
VICE PRESIDENT
9589 W LILLY WOOD DR
BOISE ID 83709

Officer/Director/Trustee Three

ANDRE HILTON
TREASURER
992 SAN CARLOS CREEK LN
HENDERSON NV 89002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 PAIGE DUNN
Signature Title PRESIDENT
Signature Date 6/14/19

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