FORM 1023-EZ for CLEAN UP PAHRUMP

Field Data
EIN 85-1866353
Case Number EO-2020197-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN UP PAHRUMP
Organization’s Mailing Address 3821 PARK RIDGE AVE
City PAHRUMP
State NV
ZIP 89048-6310
Accounting period End 12
Primary contact name FAITH MUELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FAITH MUELLO
PRESIDENT / DIRECTOR
3821 PARK RIDGE AVE
PAHRUMP NV 89048-6310

Officer/Director/Trustee Two

LESA WALD
VICE PRESIDENT / DIRECTOR
2360 S MANDY AVENUE APT A
PAHRUMP NV 89048-3613

Officer/Director/Trustee Three

DANA ALBRO
SECRETARY / DIRECTOR
3951 S RAINBOW AVE
PAHRUMP NV 89048-9426

Officer/Director/Trustee Four

SARA GURGOL
TREASURER / DIRECTOR
4800 HONEY LOCUST DR
PAHRUMP NV 89061-7241

Officer/Director/Trustee Five

JASON DOBSON
DIRECTOR
2400 SCHIFRIN ST
PAHRUMP NV 89048-5260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 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 FAITH MUELLO
Signature Title PRESIDENT / DIRECTOR
Signature Date 7/13/2020

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