FORM 1023-EZ for CREEK BOTTOM OUTDOORS

Field Data
EIN 86-2586473
Case Number EO-2021112-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREEK BOTTOM OUTDOORS
Organization’s Mailing Address 365 S STATE STREET
City FERRON
State UT
ZIP 84523
Accounting period End 12
Primary contact name AARON OWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY CONOVER
DIRECTOR
365 S STATE STREET
FERRON UT 84523

Officer/Director/Trustee Two

STACEY CONOVER
DIRECTOR
PO BOX 431
FERRON UT 84523

Officer/Director/Trustee Three

CLYDE CONOVER
DIRECTOR
PO BOX 431
FERRON UT 84523

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELODY CONOVER
Signature Title DIRECTOR
Signature Date 4/20/2021

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