FORM 1023-EZ for NCHS ALUMNI GOLF TOURNAMENT

Field Data
EIN 81-2352675
Case Number EO-2016162-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NCHS ALUMNI GOLF TOURNAMENT
Organization’s Mailing Address 3625 SILVERGATE DRIVE
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name JASON WASSERBURGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON WASSERBURGER
DIRECTOR
3625 SILVERGATE DRIVE
CHEYENNE WY 82001

Officer/Director/Trustee Two

RYAN RAPP
DIRECTOR
40660 252ND STREET
MITCHELL SD 57301

Officer/Director/Trustee Three

STEPHANIE VETTER
DIRECTOR
47855 EAST 88TH AVENUE
BENNETT CO 80102

Officer/Director/Trustee Four

KATRINA SKIBICKI
DIRECTOR
729 SOUTH MAPLE STREET
LUSK WY 82225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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
Signature Title
Signature Date

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