FORM 1023-EZ for SIAH SMASH INC

Field Data
EIN 82-2430315
Case Number EO-2018011-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIAH SMASH INC
Organization’s Mailing Address 5923 N SILVER MAPLE AVE
City MERIDIAN
State ID
ZIP 83646
Accounting period End 12
Primary contact name MICHELLE A ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON HERRING
PRESIDENT AND DIRECTOR
5923 N SILVER MAPLE AVE
MERIDIAN ID 83646

Officer/Director/Trustee Two

SARA BERGSMA
SECR AND TREAS AND DIRECTOR
670 SOUTH AMAYA AVE
BOISE ID 83709

Officer/Director/Trustee Three

REECE KULIG
DIRECTOR
2444 HILL ROAD
EAGLE ID 83616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/17
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 JASON HERRING
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/9/18

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