FORM 1023-EZ for CONSERVANTION

Field Data
EIN 82-1613114
Case Number EO-2018078-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSERVANTION
Organization’s Mailing Address 1942 BROADWAY STREET STE 314C
City BOULDER
State CO
ZIP 80302
Accounting period End 12
Primary contact name MERCEDES SIEGLE-GAITHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERCEDES SIEGLE-GAITHER
VICE PRESIDENT/SECRETARY
W5534 ELK LANE
MONTELLO WI 53949

Officer/Director/Trustee Two

JORDAN MCMAHON
PRESIDENT
1201 WEST DRIVE
MENOMINEE MI 49858

Officer/Director/Trustee Three

JACOB MCMAHON
TREASURER
4000 TUNLAW ROAD NW APT 209
WASHINGTON DC 20007

Officer/Director/Trustee Four

SHELBY BESSETTE
DIRECTOR OF EDUCATION
111 EAST JUPITER LANE
SOUTH PADRE ISLAND TX 78598

Organization’s website WWW.CONSERVANTION.ORG
Organization’s email CONSERVANTION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 MERCEDES SIEGLE-GAITHER
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 3/17/18

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