FORM 1023-EZ for CARSON VALLEY YOUTH SHOOTING SPORTS

Field Data
EIN 84-4963536
Case Number EO-2020154-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARSON VALLEY YOUTH SHOOTING SPORTS
Organization’s Mailing Address PO BOX 563
City MINDEN
State NV
ZIP 89423
Accounting period End 12
Primary contact name SCOTT ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN REGO
PRESIDENT
2781GORDON AVE
MINDEN NV 89423

Officer/Director/Trustee Two

SCOTT ATKINS
VICE PRESIDENT
1261 MYERS DR
GARDNERVILLE NV 89410

Officer/Director/Trustee Three

JENNIFER HEARN
TREASURUER
1520 SALTBUSH COURT
GARDNERVILLE NV 89410

Officer/Director/Trustee Four

JODI BURKE
SECRETARY
1380 MACENNA LANE
GARDNERVILLE NV 89410

Officer/Director/Trustee Five

TOM CROWLEY
DIRECTOR
3658 SHAWNEE DR
CARSON CITY NV 89705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 SCOTT ATKINS
Signature Title VICE PRESIDENT
Signature Date 5/31/2020

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