FORM 1023-EZ for NORTHERN COLORADO BACK COUNTRY HORSEMEN

Field Data
EIN 81-4413222
Case Number EO-2016328-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN COLORADO BACK COUNTRY HORSEMEN
Organization’s Mailing Address PO BOX 401
City WINDSOR
State CO
ZIP 80550-0401
Accounting period End 12
Primary contact name VICKIE BUCHANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRUDY SHILIKAS
CHAIRPERSON
410 FRANKLIN ST
FORT COLLINS CO 80521

Officer/Director/Trustee Two

VICKIE BUCHANAN
CO-CHAIRPERSON
17257 COUNTY ROAD 84
AULT CO 80610

Officer/Director/Trustee Three

MARION DAHLGREN
SECRETARY
45407 WCR 41
PIERCE CO 80650

Officer/Director/Trustee Four

RICK FARASYN
TREASURER
4683 ECR 16
LOVELAND CO 80537

Officer/Director/Trustee Five

NANCY FLIPPIN
STATE DIRECTOR
19108 WELD COUNTY RD 47
LASALLE CO 80645

Organization’s website
Organization’s email SFLIP40375@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2003
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
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 Yes
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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