FORM 1023-EZ for WIDOWS MITE LIVE

Field Data
EIN 84-1880222
Case Number EO-2019148-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WIDOWS MITE LIVE
Organization’s Mailing Address 2631 BEDFORD WAY
City CARSON CITY
State NV
ZIP 89701
Accounting period End 12
Primary contact name STEVE MAIN OR VICTOR BRODT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEM HANSEM
PRESIDENT
1426 CHIMNEY DR
CARSON CITY NV 89701

Officer/Director/Trustee Two

ROBINE WILLIAMS
SECRETARY
1601 FAIRVIEW DR UNIT C
CARSON CITY NV 89701

Officer/Director/Trustee Three

STEVE MAIN
TREASURER
2631 BEDFORD WAY
CARSON CITY NV 89703

Officer/Director/Trustee Four

DAY WILLIAMS
DIRECTOR
1601 FAIRVIEW DR UNIT C
CARSON CITY NV 89701

Organization’s website HTTP://WIDOWSMITE.LIVE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 STEVE MAIN
Signature Title TREASURER
Signature Date 5/25/19

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