FORM 1023-EZ for KOLTONS KARNIVAL LTD

Field Data
EIN 47-2189681
Case Number EO-2015077-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOLTONS KARNIVAL LTD
Organization’s Mailing Address BOX 1190
City DOUGLAS
State WY
ZIP 82633
Accounting period End 4
Primary contact name CAROLYN SMYLIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN SMYLIE
CO-FOUNDER, CEO
1359 N 17TH STREET
LARAMIE WY 82072

Officer/Director/Trustee Two

JODI NEVERVE
CFO
BOX 1190
DOUGLAS WY 82633

Officer/Director/Trustee Three

CHADWICK LECLAIR
CO-FOUNDER, PRESIDENT
241 HIGHWAY 96
DOUGLAS WY 82633

Officer/Director/Trustee Four

HEATHER LECLAIR
CO-FOUNDER, VICE- PRESIDENT
241 HIGHWAY 96
DOUGLAS WY 82633

Officer/Director/Trustee Five

MCKENZIE FALOTICO
SECRETARY
PO BOX 1190
DOUGLAS WY 82633

Organization’s website HTTP://KOLTONSKARNIVAL.WIX.COM/KOLTONSKARNIVAL
Organization’s email KOLTONSKARNIVAL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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