FORM 1023-EZ for PAYETTE COMMUNITY ALLIANCE NETWORKINC

Field Data
EIN 81-1056769
Case Number EO-2016055-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAYETTE COMMUNITY ALLIANCE NETWORKINC
Organization’s Mailing Address PO BOX 642
City PAYETTE
State ID
ZIP 83661
Accounting period End 9
Primary contact name LIZ AMASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LIZ AMASON
CHAIRPERSON
490 N 20TH STREET
PAYETTE ID 83661

Officer/Director/Trustee Two

SAMANTHA BREACH
VICE-CHAIRPERSON, SECRETARY
643 S 12TH STREET 402
PAYETTE ID 83661

Officer/Director/Trustee Three

TRACI SWEET
TREASURER
305 S 20TH STREET
PAYETTE ID 83661

Officer/Director/Trustee Four

PHILIPPA SMITH
AT LARGE BOARD MEMBER
6 N MAIN STREET
PAYETTE ID 83661

Officer/Director/Trustee Five

ALAN MASSEY
AT LARGE BOARD MEMBER
1920 3RD AVE S
PAYETTE ID 83661

Organization’s website
Organization’s email PAYETTECAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 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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