FORM 1023-EZ for CHROME IN THE DOME INC

Field Data
EIN 82-5331394
Case Number EO-2018130-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHROME IN THE DOME INC
Organization’s Mailing Address PO BOX 615
City EAGAR
State AZ
ZIP 85925
Accounting period End 12
Primary contact name KATHI CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CAMPBELL
DIRECTOR
PO BOX 615
EAGAR AZ 85925-615

Officer/Director/Trustee Two

KATHI CAMPBELL
DIRECTOR
PO BOX 615
EAGAR AZ 85925-615

Organization’s website
Organization’s email CHROMEINTHEDOME@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KATHI CAMPBELL
Signature Title DIRECTOR
Signature Date 5/7/18

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