FORM 1023-EZ for EMPTY BOWLS OF DOUGLAS COUNTY NV INC

Field Data
EIN 83-2901742
Case Number EO-2021141-000570
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPTY BOWLS OF DOUGLAS COUNTY NV INC
Organization’s Mailing Address PO BOX 1052
City GARDNERVILLE
State NV
ZIP 89410
Accounting period End 12
Primary contact name BEVERLEY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIS ELLIOTT
PRESIDENT
1235 SLATE ROAD
WELLINGTON NV 89444

Officer/Director/Trustee Two

BEVERLEY ANDERSON
TREASURER
1391 CALLE PEQUENO
GARDNERVILLE NV 89410

Officer/Director/Trustee Three

DAWN ROSENBERG
SECRETARY
PO BOX 602
GENOA NV 89411

Officer/Director/Trustee Four

CAMILLE HOWARD
VICE PRESDENT
1301 MYERS DR
GARDNERVILLE NV 89410

Officer/Director/Trustee Five

IRENE TAYLOR
SARGENT AT ARMS
948 DEAN
GARDNERVILLE NV 89460

Organization’s website
Organization’s email NEVADABEV@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2018
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 BEVERLEY ANDERSON
Signature Title TREASURER
Signature Date 5/18/2021

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