FORM 1023-EZ for T KEG FOR THE CURE

Field Data
EIN 90-0545825
Case Number EO-2014330-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name T KEG FOR THE CURE
Organization’s Mailing Address 608 14TH ST
City RAWLINS
State WY
ZIP 82301
Accounting period End 12
Primary contact name KATHLEEN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI HELM
DIRECTOR
1821 INVERNESS BLVD
RAWLINS WY 82301

Officer/Director/Trustee Two

KATHLEEN JOHNSON
DIRECTOR
608 14TH ST
RAWLINS WY 82301

Officer/Director/Trustee Three

DIANE KULMUS
DIRECTOR
711 14TH ST
RAWLINS WY 82301

Officer/Director/Trustee Four

MELISSA OMELIA
DIRECTOR
1008 9TH ST
RAWLINS WY 82301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2010
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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