FORM 1023-EZ for KEMMERER RANGER BOOSTER CLUB

Field Data
EIN 87-2873011
Case Number EO-2021274-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEMMERER RANGER BOOSTER CLUB
Organization’s Mailing Address 1525 3RD WEST
City KEMMERER
State WY
ZIP 83101
Accounting period End 12
Primary contact name JASON SKIDMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON SKIDMORE
PRESIDENT
1352 UINTA DRIVE
KEMMERER WY 83101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 9/29/2021
Organization Incorporation State WY
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 Yes
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 No
Signature Name JASON SKIDMORE
Signature Title PRESIDENT
Signature Date 9/29/2021

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