FORM 1023-EZ for CHEYENNE FIELD ARCHERS SCHOLARSHIPFOUNDATION

Field	Data
EIN	83-3517141
Case Number	EO-2019044-000367
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	CHEYENNE FIELD ARCHERS SCHOLARSHIPFOUNDATION
Organization’s Mailing Address	5023 MCCUE DRIVE
City	CHEYENNE
State	WY
ZIP	82009
Accounting period End	12
Primary contact name	LORA KETTERLING
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

LORA KETTERLING
PRESIDENT
5023 MCCUE DRIVE
CHEYENNE WY 82009

Officer/Director/Trustee Two

CONNIE CRANDALL
TREASURER
1423 ROAD 139
CHEYENNE WY 82009

Officer/Director/Trustee Three

JUDY WOODEN
SECRETARY
3245 ACACIA DR
CHEYENNE WY 82001

Officer/Director/Trustee Four

MYRON REED
DIRECTOR
211 MEDICINE BOW AVE
CHEYENNE WY 82009

Officer/Director/Trustee Five

DAVID HAYS
DIRECTOR
2015 S 4TH AVE
CHEYENNE WY 82007

Organization’s website	WWW.CHEYENNEFIELDARCHERS.COM
Organization’s email	SCHOLARSHIPFOUNDATION@CHEYENNEFIELDARCHERS.ORG
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	1/30/19
Organization Incorporation State	WY
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	N11 - Single Organization Support
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	CONNIE CRANDALL
Signature Title	TREASURER
Signature Date	2/11/19
EIN	83-3517141
Case Number	EO-2019044-000367
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	CHEYENNE FIELD ARCHERS SCHOLARSHIP FOUNDATION
Organization’s Mailing Address	5023 MCCUE DRIVE
City	CHEYENNE
State	WY
ZIP	82009
Accounting period End	12
Primary contact name	LORA KETTERLING
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00