FORM 1023-EZ for COLORADO CHALLENGE MINISTRY

Field Data
EIN 47-3019795
Case Number EO-2016134-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLORADO CHALLENGE MINISTRY
Organization’s Mailing Address 224 CAMBRIDGE
City HOLLAND
State MI
ZIP 49423
Accounting period End 12
Primary contact name JEFFREY PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT DAVIS
PRESIDENT
224 CAMBRIDGE
HOLLAND MI 49423

Officer/Director/Trustee Two

JEFFREY PALMER
SECRETARY
415 W 22ND ST
HOLLAND MI 49423

Officer/Director/Trustee Three

KENT BAAR
TREASURER
2138 WOODLARK
HOLLAND MI 49424

Officer/Director/Trustee Four

BOB ELLIS
DIRECTOR
17051 BELLWOOD
HOLLAND MI 49424

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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
Signature Title
Signature Date

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