FORM 1023-EZ for MOUNTAIN ADVENTURE ACADEMY INC

Field Data
EIN 84-3973943
Case Number EO-2019350-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN ADVENTURE ACADEMY INC
Organization’s Mailing Address 4389 E 278 N
City RIGBY
State ID
ZIP 83442-5987
Accounting period End 12
Primary contact name MATTHEW KLINGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW KLINGLER
PRESIDENT
4389
RIGBY ID 83442-5987

Officer/Director/Trustee Two

DOUG SWANSON
VICE PRESIDENT
3045 LAURENCE CT
IDAHO FALLS ID 83402

Officer/Director/Trustee Three

MORRIS CHRISTENSEN
SECRETARY
274 E 1ST S
REXBURG ID 83440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2019
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 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 MATTHEW KLINGLER
Signature Title PRESIDENT
Signature Date 12/13/2019

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