FORM 1023-EZ for COYOTE CREEK FOUNDATION

Field Data
EIN 47-3130570
Case Number EO-2015093-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COYOTE CREEK FOUNDATION
Organization’s Mailing Address PO BOX 475
City GUADALUPITA
State NM
ZIP 87722
Accounting period End 12
Primary contact name JONES WITCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONES WITCHER
PRES/DIRECTOR/BOARD CHAIR
6161 CLIFFSIDE RD
AMARILLO TX 79124

Officer/Director/Trustee Two

MERLA GILLIAM
V-PRES/TREASURER/DIRECTOR
96 A044 COUNTY RD
GUADALUPITA NM 87722

Officer/Director/Trustee Three

PATRICIA DECASTRO
SECRETARY/DIRECTOR
20 RINCON RD
GUADALUPITA NM 87722

Organization’s website WWW.COYOTECREEKFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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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