FORM 1023-EZ for SAMUEL L CLEMENS 1856 HUMBOLDT REDSHIRTS

Field Data
EIN 81-2845732
Case Number EO-2016160-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMUEL L CLEMENS 1856 HUMBOLDT REDSHIRTS
Organization’s Mailing Address 44 WEST RAILROAD STREET
City WINNEMUCCA
State NV
ZIP 89445
Accounting period End 12
Primary contact name MIKE LEAVITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILL SOVINSKY
PRESIDENT
3750 LUPINR DRIVE
WINNEMUCCA NV 89445

Officer/Director/Trustee Two

MICHAEL LEAVITT
TREASURER
3105 JUPITER
WINNEMUCCA NV 89445

Officer/Director/Trustee Three

CLIFFORD KILLIAN
VICE PRESIDENT
3125 ARTEMISIA
WINNEMUCCA NV 89445

Officer/Director/Trustee Four

DAVE BERNOSKY
HISTORIAN
3215 WEST THOMAS CANYON
WINNEMUCCA NV 89445

Officer/Director/Trustee Five

SCOTT JONES
SECRETARY
44 WEST RAILROAD STREET
WINNEMUCCA NV 89445

Organization’s website HTTP://WWW.SAMUELCLEMENS1856.COM
Organization’s email SLCNV1856@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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
Signature Title
Signature Date

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