FORM 1023-EZ for WYOMING BOWFISHING ASSOCIATION

Field Data
EIN 81-2851468
Case Number EO-2017326-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WYOMING BOWFISHING ASSOCIATION
Organization’s Mailing Address 2001 W LAKEWAY RD STE A
City GILLETTE
State WY
ZIP 82718
Accounting period End 12
Primary contact name TONI L BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY ELLIS
INCORPORATOR
820 SOUTHERLAND COVE LN
GILLETTE WY 82718

Officer/Director/Trustee Two

DANIEL PEAK
INCORPORATOR
1 FOX RIDGE AVE
GILLETTE WY 82718

Officer/Director/Trustee Three

JAVIER BAEZA
INCORPORATOR
3718 TRITON AVE
GILLETTE WY 82718

Officer/Director/Trustee Four

TONI BELL
REGISTERED AGENT
2001 W LAKEWAY RD STE A
GILLETTE WY 82718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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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