FORM 1023-EZ for CODY LOUK DREAM KEEPER FOUNDATION

Field Data
EIN 47-1557655
Case Number EO-2018026-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CODY LOUK DREAM KEEPER FOUNDATION
Organization’s Mailing Address 1178 E WINNEMUCCA BLVD
City WINNEMUCCA
State NV
ZIP 89445
Accounting period End 1
Primary contact name JIM BILLINGSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM BILLINGSLEY
PRESIDENT
1178 E WINNEMUCCA BLVD
WINNEMUCCA NV 89445

Officer/Director/Trustee Two

CODY BRINKERHOFF
VICE PRESIDENT
1178 E WINNEMUCCA BLVD
WINNEMUCCA NV 89445

Officer/Director/Trustee Three

BRAD BAUMAN
SECRETARY/TREUSUER
1178 E WINNEMUCCA BLVD
WINNEMUCCA NV 89445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/14
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRAD BAUMAN
Signature Title SECRETARY/TREUSUER
Signature Date 1/24/18

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