FORM 1023-EZ for NEVADA FIBONACCI TEMPLE

Field Data
EIN 84-2188322
Case Number EO-2019177-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEVADA FIBONACCI TEMPLE
Organization’s Mailing Address 1215 GINGER LANE
City CARSON CITY
State NV
ZIP 89701
Accounting period End 12
Primary contact name JAY F CAFFERATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY CAFFERATA
PRESIDENT
1215 GINGER LANE
CARSON CITY NV 89701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAY CAFFERATA
Signature Title PRESIDENT
Signature Date 6/24/19

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