FORM 1023-EZ for LARAMIE COUNTY TRAUMA CONFERENCE INC

Field Data
EIN 47-5268135
Case Number EO-2019322-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LARAMIE COUNTY TRAUMA CONFERENCE INC
Organization’s Mailing Address PO BOX 2834
City CHEYENNE
State WY
ZIP 82003
Accounting period End 12
Primary contact name DANIEL BOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT JOHNSON
PRESIDENT / DIRECTOR
139 MARIAN CIRCLE
CHEYENNE WY 82001

Officer/Director/Trustee Two

BRYAN CRIST
SECRETARY / DIRECTOR
104 DAYSHIA LANE
CHEYENNE WY 82007

Officer/Director/Trustee Three

DANIEL BOND
VP / TREASURER / DIRECTOR
4000 DILLION AVE
CHEYENNE WY 82001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/17
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 ROBERT JOHNSON
Signature Title PRESIDENT / DIRECTOR
Signature Date 11/14/19

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