FORM 1023-EZ for AWARENESS SUPPORT & EDUCATION ABOUTDEMENTIA FOR DELTA COUNTY

Field Data
EIN 85-3494291
Case Number EO-2021078-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AWARENESS SUPPORT & EDUCATION ABOUTDEMENTIA FOR DELTA COUNTY
Organization’s Mailing Address PO BOX 674
City DELTA
State CO
ZIP 81416
Accounting period End 10
Primary contact name JESS F DEEGAN II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESS DEEGAN II
PRESIDENT
42535 MULE DEER RD
CRAWFORD CO 81415-6701

Officer/Director/Trustee Two

GAYLA MICHAUD
VICE PRESIDENT
3743 1600 RD
DELTA CO 81416

Officer/Director/Trustee Three

CAROL MARTINSON
SECRETARY
2270 FOX RIDGE DR
AUSTIN CO 81410

Officer/Director/Trustee Four

DAN TROWBRIDGE
TREARSURER
815 HASTINGS ST
DELTA CO 81416

Officer/Director/Trustee Five

SUE MACLAREN
CHARTER BOARD MEMBER
2465 S GRAND MESA DR
CEDEREDGE CO 81413

Organization’s website
Organization’s email AWARENESSSEDEMENTIADELTA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 JESS DEEGAN II
Signature Title PRESIDENT
Signature Date 1/24/2021

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