FORM 1023-EZ for COWBOY AT THE CROSS MINISTRIES

Field Data
EIN 47-3873628
Case Number EO-2015124-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COWBOY AT THE CROSS MINISTRIES
Organization’s Mailing Address 10211 TONGUE CREEK RD
City AUSTIN
State CO
ZIP 81410-8306
Accounting period End 4
Primary contact name TERRY HEDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANE KIER
PRESIDENT/CEO
10211 TONGUE CREEK RD
AUSTIN CO 81410-8306

Officer/Director/Trustee Two

TERRY HEDRICK
ADMINSTRATOR
725 LINCOLN PL
DELTA CO 81416-2439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 Yes
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 Yes
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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