FORM 1023-EZ for ROCK THE FORK LABS

Field Data
EIN 83-1699380
Case Number EO-2018239-000832
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK THE FORK LABS
Organization’s Mailing Address 412 N MAIN ST STE 100
City BUFFLO
State WY
ZIP 82834
Accounting period End 12
Primary contact name JULIE BADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE BADER
PRESIDENT
412 N MAIN ST STE 100
BUFFLO WY 82834

Officer/Director/Trustee Two

ASPEN DECKER BADER
DIRECTOR
412 N MAIN ST STE 100
BUFFLO AZ 82834

Officer/Director/Trustee Three

ANDREA MCCOY
SECRETARY
412 N MAIN ST STE 100
BUFFLO WY 82834

Organization’s website
Organization’s email LABS@ROCKTHEFORK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State WY
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: 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 JULIE BADER
Signature Title PRESIDENT
Signature Date 8/24/18

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