FORM 1023-EZ for A MOTHERS EARTH

Field Data
EIN 81-2240136
Case Number EO-2016187-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A MOTHERS EARTH
Organization’s Mailing Address 145 WEST DELONEY AVE SUITE 1
City JACKSON
State WY
ZIP 83001
Accounting period End 7
Primary contact name VANESSA BOSHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA BOSHOFF
PREDSIDENT
465 EAST BROADWAY
JACKSON WY 83001

Officer/Director/Trustee Two

FRANCESCA ROMO
SECRETARY
325 EAST PEARL AVE
JACKSON WY 83001

Officer/Director/Trustee Three

GARRETT EDINGTON
TREASURER
325 EAST PEARL AVE
JACKSON WY 83001

Officer/Director/Trustee Four

CANDRA DAY
CONSULTANT
200 GLENWOOD
JACKSON WY 83001

Officer/Director/Trustee Five

JESSICA ONEAL
CONSULTANT
3737 US HWY 26
DUBOIS WY 83001

Organization’s website WWW.AMOTHERSEARTH.COM
Organization’s email WILDERNESSA@MAC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2016
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 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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