FORM 1023-EZ for GREEN HILLS GOLF FOUNDATION INC

Field Data
EIN 85-1242338
Case Number EO-2020210-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN HILLS GOLF FOUNDATION INC
Organization’s Mailing Address 1489 AIRPORT RD
City WORLAND
State WY
ZIP 82401
Accounting period End 12
Primary contact name VALERIE BJORHUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD MCKAMEY
PRESIDENT
500 HILLCREST DR
WORLAND WY 82401

Officer/Director/Trustee Two

ERNEST SKRETTEBERG
VICE PRESIDENT
221 SOUTH 20TH
WORLAND WY 82401

Officer/Director/Trustee Three

VALERIE BJORHUS
SECRETARY/TREASURER
844 ARAPAHOE ST
THERMOPOLIS WY 82443

Officer/Director/Trustee Four

TAMARA MARSHALL
DIRECTOR
321 N 14TH ST
WORLAND WY 82401

Officer/Director/Trustee Five

DUANE WHITLOCK
DIRECTOR
1086 N ROAD 11
WORLAND WY 82401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 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 VALERIE BJORHUS
Signature Title SECRETARY/TREASURER
Signature Date 7/23/2020

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