FORM 1023-EZ for STUDENT OCCUPATIONAL THERAPY ASSOCIATION FOR NATIONAL AMERICAN UNIVERS

Field Data
EIN 82-4430530
Case Number EO-2018057-000508
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STUDENT OCCUPATIONAL THERAPY ASSOCIATION FOR NATIONAL AMERICAN UNIVERS
Organization’s Mailing Address 8242 S UNIVERSITY BLVD SUITE 100
City CENTENNIAL
State CO
ZIP 80122
Accounting period End 12
Primary contact name MICHELLE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MOORE
PROGRAM COORDINATOR
8242 S UNIVERSITY BLVD SUITE 100
CENTENNIAL CO 80122

Officer/Director/Trustee Two

JODI JOHNSON
AFWC
8242 S UNIVERSITY BLVD SUITE 100
CENTENNIAL CO 80122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE MOORE
Signature Title PROGRAM COORDINATOR
Signature Date 2/23/18

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