FORM 1023-EZ for THE CENTER FOR EXCELLENCE IN ADVANCE CARE PLANNING LLC

Field Data
EIN 81-5422855
Case Number EO-2017054-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CENTER FOR EXCELLENCE IN ADVANCE CARE PLANNING LLC
Organization’s Mailing Address 7645 VANCE DR
City ARVADA
State CO
ZIP 80003
Accounting period End 12
Primary contact name FRANCES MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES MYERS
EXECUTIVE DIRECTOR
7645 VANCE DR
ARVADA CO 80003

Officer/Director/Trustee Two

JILL CLARK ROSS
TRUSTEE
723 ENTRADA DR
GOLDEN CO 80401

Officer/Director/Trustee Three

DEBRA FENDING
TRUSTEE
7606 UPHAM CT
ARVADA CO 80003

Officer/Director/Trustee Four

BRONWYN LONG BOURNE
TRUSTEE
4667 S MONACO ST
DENVER CO 80237

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 Yes
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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