FORM 1023-EZ for SACRED LODGE SUNDANCE COMMITEE

Field Data
EIN 47-0988756
Case Number EO-2014325-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SACRED LODGE SUNDANCE COMMITEE
Organization’s Mailing Address 1698 BUCKSKIN DR
City ELKO
State NV
ZIP 89801
Accounting period End 12
Primary contact name GONNIE MENDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEOFFREY BRYAN
P
263 DIAMOND ROAD
DUCKWATER NV 89314

Officer/Director/Trustee Two

SHASTA BLACKEYE
VICE PRESIDENT
1592 2ND STREET
DUCKWATER NV 89314

Officer/Director/Trustee Three

JANEY BRYAN
SECRETARY
203 DIAMOND ROAD
DUCKWATER NV 89314

Officer/Director/Trustee Four

GONNIE MENDEZ
TREASURER
1698 BUCKSKIN DR
ELKO NV 89801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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