FORM 1023-EZ for DAVE WARNER MEMORIAL GOLF TOURNAMENT

Field Data
EIN 87-1357143
Case Number EO-2021176-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVE WARNER MEMORIAL GOLF TOURNAMENT
Organization’s Mailing Address 2673 S IRIS ST
City LAKEWOOD
State CO
ZIP 80227
Accounting period End 12
Primary contact name JACQUELINE WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE WARNER
PRESIDENT
2673 S IRIS ST
LAKEWOOD CO 80227

Organization’s website
Organization’s email JWARNER599@MSN.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 JACQUELINE WARNER
Signature Title PRESIDENT
Signature Date 6/23/2021

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