FORM 1023-EZ for SOUTH METRO MEDICAL EQUIPMENT LOANCLOSET

Field Data
EIN 81-2053447
Case Number EO-2016138-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH METRO MEDICAL EQUIPMENT LOANCLOSET
Organization’s Mailing Address 6456 SOUTH NIAGARA CT
City CENTENNIAL
State CO
ZIP 80111
Accounting period End 12
Primary contact name DONNA RALSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA RALSTON
PRESIDENT
6456 SOUTH NIAGARA CT
CENTENNIAL CO 80111

Officer/Director/Trustee Two

PATRICIA JO OAKLEY
SECRETARY
7308 SOUTH XANTHIA
CENTENNIAL CO 80112

Officer/Director/Trustee Three

PHYLIS ANDERSON
TREASURER
2983 WES LONG DRIVE UNIT C
LITTLETON CO 80120

Officer/Director/Trustee Four

DEBRA D PENROSE
DIRECTOR
6510 SOUTH LOCUST WAY
CENTENNIAL CO 80111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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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