FORM 1023-EZ for UNACCOMPANIED STUDENTS INITIATIVE

Field Data
EIN 83-2885380
Case Number EO-2019035-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNACCOMPANIED STUDENTS INITIATIVE
Organization’s Mailing Address P O BOX 22103
City CHEYENNE
State WY
ZIP 82003
Accounting period End 12
Primary contact name TAMARA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRISH PEOPLES
PRESIDENT
P O BOX 22103
CHEYENNE WY 82003

Officer/Director/Trustee Two

ALANE WEST
PRES ELECT
P O BOX 22103
CHEYENNE WY 82003

Officer/Director/Trustee Three

DARA JOHNSTON
TREASURER
P O BOX 22103
CHEYENNE WY 82003

Officer/Director/Trustee Four

ELYSSA GARDNER
SECRETARY
P O BOX 22103
CHEYENNE WY 82003

Officer/Director/Trustee Five

TERRY WILLIAMS
TRUSTEE
P O BOX 22103
CHEYENNE WY 82003

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 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 TERRY WILLIAMS
Signature Title TRUSTEE
Signature Date 1/10/19

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