FORM 1023-EZ for FATAL ENCOUNTERS DOT ORG

Field Data
EIN 47-2263583
Case Number EO-2014316-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FATAL ENCOUNTERS DOT ORG
Organization’s Mailing Address 3375 SAN MATEO AVENUE
City RENO
State NV
ZIP 89509-5046
Accounting period End 12
Primary contact name DAVID BRIAN BURGHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BURGHART
PRESIDENT SECRETARY TREASURER
3375 SAN MATEO AVENUE
RENO NV 89509-5046

Officer/Director/Trustee Two

WALTER LOCKLEY
VICE PRESIDENT
12601 SE RIVER ROAD APT 220
MILWAUKIE OR 97222-9712

Officer/Director/Trustee Three

MATTHEW BECKER
DIRECTOR
2145 GRIDLEY AVENUE
RENO NV 89503-1519

Officer/Director/Trustee Four

CARTER KING
DIRECTOR
200 SOUTH VIRGINIA STREET STE 829
RENO NV 89501-1392

Officer/Director/Trustee Five

SYLVIA ROREM
DIRECTOR
1772 LA SALLE AVENUE
SAN FRANCISCO CA 94124-2139

Organization’s website WWW.FATALENCOUNTERS.ORG
Organization’s email D.BRIAN@FATALENCOUNTERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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