FORM 1023-EZ for FRIENDS OF CCDC CORRECTIONAL OFFICERS

Field Data
EIN 47-1832297
Case Number EO-2014310-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CCDC CORRECTIONAL OFFICERS
Organization’s Mailing Address 330 SOUTH CASINO CENTER BLVD
City LAS VEGAS
State NV
ZIP 89101-6102
Accounting period End 12
Primary contact name DAVID ROGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HERBERT BAKER
PRESIDENT
330 SOUTH CASINO CENTER BLVD
LAS VEGAS NV 89101-6102

Officer/Director/Trustee Two

PAT WAHLQUIST
VICE PRESIDENT
3330 SOUTH CASINO CENTER BLVD
LAS VEGAS NV 89101-6102

Officer/Director/Trustee Three

MANUELA BARELA
SECRETARY
330 SOUTH CASINO CENTER BLVD
LAS VEGAS NV 89101-6102

Officer/Director/Trustee Four

CORY ROGERS
TRUSTEE
330 SOUTH CASINO CENTER BLVD
LAS VEGAS NV 89101-6102

Officer/Director/Trustee Five

SCOTT NICHOLAS
TRUSTEE
330 SOUTH CASINO CENTER BLVD
LAS VEGAS NV 89101-6102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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