FORM 1023-EZ for THE FISH BAIT CHARITABLE TRUST

Field Data
EIN 81-3268636
Case Number EO-2016204-000061
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FISH BAIT CHARITABLE TRUST
Organization’s Mailing Address 241 OLIVE DR
City CLOVIS
State NM
ZIP 88101
Accounting period End 12
Primary contact name DOUGLAS A DOWNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS DOWNS
TRUSTEE
241 OLIVE DR
CLOVIS NM 88101-9359

Officer/Director/Trustee Two

MARY DOWNS
TRUSTEE
241 OLIVE DR
CLOVIS NM 88101-9359

Organization’s website
Organization’s email DOUG@CLOVIS.ORG
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2016
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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