FORM 1023-EZ for SCAVENGERS JOURNEY INC

Field Data
EIN 47-4965538
Case Number EO-2017039-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCAVENGERS JOURNEY INC
Organization’s Mailing Address PO BOX 166
City PUKWANA
State SD
ZIP 57370
Accounting period End 12
Primary contact name STEPHANIE HEALY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPAHNIE HEALY
OFFICER
PO BOX 167
PUKWANA SD 57370

Officer/Director/Trustee Two

ELAINE TITZE
OFFICER
25727 386TH AVE
PLANKINTON SD 57368-5918

Officer/Director/Trustee Three

MELANIE OLSON
OFFICER
101 CHERRY CT
CHAMBERLAIN SD 57325

Officer/Director/Trustee Four

CONNIE ASSMUS
OFFICER
402 EAST 1ST STREET
WHITE LAKE SD 57383-2220

Officer/Director/Trustee Five

BARRY BETTS
DIRECTOR
1519 SHORELINE DR
OACOMA SD 57365

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2016
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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