FORM 1023-EZ for CIBOLA HOSPITALITY CENTER INC

Field Data
EIN 85-0386080
Case Number EO-2015120-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIBOLA HOSPITALITY CENTER INC
Organization’s Mailing Address PO BOX 7044
City GRANTS
State NM
ZIP 87020
Accounting period End 12
Primary contact name DON SAYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DON SAYE
PRESIDENT
611 LAVA AVE
MILAN NM 87021

Officer/Director/Trustee Two

TOM GUTIERREZ
VICE PRESIDENT
405 GRAY
MILAN NM 87021

Officer/Director/Trustee Three

NESTOR GRIEGO
TREASURER
711 DEER TRAIL
GRANTS NM 87020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/1990
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
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 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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