FORM 1023-EZ for EAGLE ROCK GUN SCHOOL AND RANGE

Field Data
EIN 81-3734151
Case Number EO-2016250-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAGLE ROCK GUN SCHOOL AND RANGE
Organization’s Mailing Address 1795 W BROADWAY PMB 13
City IDAHO FALLS
State ID
ZIP 83402
Accounting period End 12
Primary contact name JOHN SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY TAYLOR
MANAGER
1119 PERISKA WAY
IDAHO FALLS ID 83402

Officer/Director/Trustee Two

LOUIS LANG
MANAGER
5502 S 9TH E
IDAHO FALLS ID 83404

Officer/Director/Trustee Three

TONY LAROSA
MANAGER
330 W COMMONS ROAD
IDAHO FALLS ID 83401

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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