FORM 1023-EZ for FRIENDS OF THE PAHA SAPA GROTTO

Field Data
EIN 83-4525611
Case Number EO-2019119-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE PAHA SAPA GROTTO
Organization’s Mailing Address PO BOX 731
City CUSTER
State SD
ZIP 57730
Accounting period End 12
Primary contact name CHRIS PELCZARSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS PELCZARSKI
CHAIRPERSON
PO BOX 731
CUSTER SD 57730

Officer/Director/Trustee Two

ADAM WEAVER
VICE CHAIRPERSON
PO BOX 731
CUSTER SD 57730

Officer/Director/Trustee Three

KARL EMMANUEL
SECRETARY
PO BOX 731
CUSTER SD 57730

Officer/Director/Trustee Four

THANG NGUYEN
TREASURER
PO BOX 731
CUSTER SD 57730

Organization’s website
Organization’s email CHAIRPERSON@PAHASAPAGROTTO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/19
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
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 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 CHRIS PELCZARSKI
Signature Title CHAIRPERSON
Signature Date 4/26/19

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