FORM 1023-EZ for EXEMPT NV

Field Data
EIN 87-2096696
Case Number EO-2021225-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXEMPT NV
Organization’s Mailing Address 304 S JONES BLVD SUITE 2393
City LAS VEGAS
State NV
ZIP 89179
Accounting period End 8
Primary contact name PHILIP DAVID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP DAVID DACE
PRESIDENT & DIRECTOR
7260 SUNNY COUNTRYSIDE AVE
LAS VEGAS NV 89179

Officer/Director/Trustee Two

LUBA SNOW
SECRETARY & TREASURER
7260 SUNNY COUNTRYSIDE AVE
LAS VEGAS NV 89179

Organization’s website EXEMPTNV.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 PHILIP DAVID DACE
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/11/2021

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