FORM 1023-EZ for SAN JUAN BASIN LANDMANS ASSOCIATION

Field Data
EIN 81-1995080
Case Number EO-2016126-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN JUAN BASIN LANDMANS ASSOCIATION
Organization’s Mailing Address PO BOX 2903
City FARMINGTON
State NM
ZIP 87499-5850
Accounting period End 12
Primary contact name ROBERT CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARSHAL BOND
PRESIDENT
3401 E 30TH ST
FARMINGTON NM 87402-8807

Officer/Director/Trustee Two

ROBERT CARLSON
TREASURER
3401 E 30TH ST
FARMINGTON NM 87402-8807

Officer/Director/Trustee Three

BILL HACKETT
DIRECTOR
1800 OLD PECOS TRAIL STE E
SANTA FE NM 87402-8807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2016
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
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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