FORM 1023-EZ for SHAN-GRI-LA PREHISTORIC PARK INC

Field Data
EIN 47-4165009
Case Number EO-2015159-000554
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHAN-GRI-LA PREHISTORIC PARK INC
Organization’s Mailing Address 733 GREENWAY ROAD
City HENDERSON
State NV
ZIP 89002
Accounting period End 12
Primary contact name ROBERT DWORKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN SPRINGER
PRESIDENT
733 GREENWAY ROAD
HENDERSON NV 89002

Officer/Director/Trustee Two

STEPHEN SPRINGER
SECRETARY
733 GREENWAY ROAD
HENDERSON NV 89002

Officer/Director/Trustee Three

STEPHEN SPRINGER
TREASURER
733 GREENWAY ROAD
HENDERSON NV 89002

Officer/Director/Trustee Four

STEPHEN SPRINGER
DIRECTOR
733 GREENWAY ROAD
HENDERSON NV 89004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N52 - Fairs, County and Other
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
Signature Title
Signature Date

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