FORM 1023-EZ for MITO GROUP OF IDAHO

Field Data
EIN 82-2501786
Case Number EO-2017261-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITO GROUP OF IDAHO
Organization’s Mailing Address 807 W VALENTINO ST
City MERIDIAN
State ID
ZIP 83646
Accounting period End 12
Primary contact name JENNIFER PFEFFERLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PFEFFERLE
PRESIDENT
807 W VALENTINO ST
MERIDIAN ID 83646

Officer/Director/Trustee Two

WAYNE ROSS
TREASURER
1673 W MEADOWGRASS
MERIDIAN ID 83646

Officer/Director/Trustee Three

DAN CARRIER
VICE PRESIDENT
15335 CYPRESS
CALDWELL ID 86307

Officer/Director/Trustee Four

ANDREA KEITHLINE
SECRETARY
807 W VALENTINO ST
MERIDIAN ID 83646

Organization’s website
Organization’s email MITOGROUPOFIDAHO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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