FORM 1023-EZ for EXCELSIOR HOMESCHOOL FAMILIES

Field Data
EIN 81-1811337
Case Number EO-2018128-000919
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCELSIOR HOMESCHOOL FAMILIES
Organization’s Mailing Address PO BOX 3002
City NAMPA
State ID
ZIP 83653
Accounting period End 6
Primary contact name KELLY MACQUEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY MACQUEEN
DIRECTOR
PO BOX 3002
NAMPA ID 83653

Officer/Director/Trustee Two

ANGELA HOLDEN
TREASURER
PO BOX 3002
NAMPA ID 83653

Officer/Director/Trustee Three

KEN BARNES
CHAIRMAN
PO BOX 3002
NAMPA ID 83653

Officer/Director/Trustee Four

AMBER DOBKINS
SECRETARY
PO BOX 3002
NAMPA ID 83653

Officer/Director/Trustee Five

TAMMY WIGHTMAN
BOARD MEMBER
PO BOX 3002
NAMPA ID 83653

Organization’s website WWW.EXCELSIORCOOP.ORG
Organization’s email KELLY@EXCELSIORCOOP.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/16
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 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 KELLY MACQUEEN
Signature Title DIRECTOR
Signature Date 5/3/18

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