FORM 1023-EZ for US ENERGY

Field Data
EIN 82-4257535
Case Number EO-2018068-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US ENERGY
Organization’s Mailing Address 2723 27TH AVE W 112
City WILLISTON
State ND
ZIP 58801
Accounting period End 4
Primary contact name JASON MARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MARMON
DIRECTOR
2723 27TH AVE W 112
WILLISTON AZ 58801

Officer/Director/Trustee Two

ROLAND MARMON
DIVERSITY DIRECTOR
950 S 4TH ST
COTTONWOOD AZ 86326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 JASON MARMON
Signature Title DIRECTOR
Signature Date 3/7/18

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