FORM 1023-EZ for WESTERN GATEWAY PARK FOUNDATION

Field Data
EIN 82-4834186
Case Number EO-2018200-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN GATEWAY PARK FOUNDATION
Organization’s Mailing Address 18560 PENN VALLEY DRIVE
City PENN VALLEY
State CA
ZIP 95946
Accounting period End 6
Primary contact name ARVEL CLIFTON BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARVEL CLIFTON BRYANT JR
PRESIDENT
17275 STARDUSTER DR
NEVADA CITY CA 95959

Officer/Director/Trustee Two

CAROLYN WINTERS
VICE PRESIDENT
19525 KNEEBONE COURT
PENN VALLEY CA 95946

Officer/Director/Trustee Three

JAY BENECKE
CHIEF FINANCIAL OFFICER
13285 THISTLELOOP
PENN VALLEY CA 95946

Organization’s website WWW.WESTERNGATEWAYPARK.COM
Organization’s email CLIFF204@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ARVEL CLIFTON BRYANT JR
Signature Title PRESIDENT
Signature Date 7/17/18

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