FORM 1023-EZ for PRESERVE HISTORIC WYOMING

Field Data
EIN 83-2177939
Case Number EO-2018304-000059
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRESERVE HISTORIC WYOMING
Organization’s Mailing Address 109 E 17TH STREET SUITE 5487
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name ROBERT SLAUGHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SLAUGHTER
EXECUTIVE DIRECTOR
823 W 2ND AVE
CHEYENNE WY 82001

Officer/Director/Trustee Two

SANDRA RENICK
TREASURER
38192 STONE MEADOW DRIVE
MURRIETTA CA 92562

Officer/Director/Trustee Three

RICK DRURY
DIRECTOR
1801 S 93RD STREET UNIT C22
SEATTLE WA 98108

Organization’s website
Organization’s email RSLAUGHTER@PHWY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
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 ROBERT SLAUGHTER
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/29/18

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