FORM 1023-EZ for NEVERFORGOTEN77 SUICIDE SURVIVORS LOSS GROUP

Field Data
EIN 84-1791490
Case Number EO-2019224-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEVERFORGOTEN77 SUICIDE SURVIVORS LOSS GROUP
Organization’s Mailing Address PO BOX 54166
City CASPER
State WY
ZIP 82605
Accounting period End 5
Primary contact name TINA STERKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA STERKEN
FACILITATOR
2769 REX ANNE WAY
CASPER WY 82601

Officer/Director/Trustee Two

MARK STERKEN
FACILITATOR
2769 REX ANNE WAY
CASPER WY 82601

Organization’s website
Organization’s email NEVERFORGOTEN77@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/19
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TINA STERKEN
Signature Title FACILITATOR
Signature Date 8/9/19

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