FORM 1023-EZ for RIO VERDE JEEP CLUB

Field Data
EIN 82-4791228
Case Number EO-2018075-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIO VERDE JEEP CLUB
Organization’s Mailing Address 1575 DEWAR DRIVE SUITE 400
City ROCK SPRINGS
State WY
ZIP 82901
Accounting period End 12
Primary contact name JONGSUN BAE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYLE PETERSEN
PRESIDENT
1575 DEWAR DRIVE SUITE 400
ROCK SPRINGS WY 82901

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYLE PETERSEN
Signature Title PRESIDENT
Signature Date 3/14/18

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