FORM 1023-EZ for INTERMOUNTAIN BASS ANGLERS KIDS CLUB INC

Field Data
EIN 82-2718543
Case Number EO-2018074-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERMOUNTAIN BASS ANGLERS KIDS CLUB INC
Organization’s Mailing Address 825 WINTHER BLVD
City NAMPA
State ID
ZIP 83651
Accounting period End 12
Primary contact name JENNIFER KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNSAY LUDWIG
BOARD MEMBER
513 DANBY AVE
CALDWELL ID 83605

Officer/Director/Trustee Two

TANYA LAMPMAN
BOARD MEMBER
428 GARDEN CT
MIDDLETON ID 83644

Officer/Director/Trustee Three

JENNIFER KELLEY
DIRECTOR
825 WINTHER BLVD
NAMPA ID 83651

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/17
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 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 JENNIFER KELLEY
Signature Title DIRECTOR
Signature Date 3/13/18

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