FORM 1023-EZ for SOUTHERN COLORADO THERAPY CARE INC

Field Data
EIN 81-2187911
Case Number EO-2016109-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN COLORADO THERAPY CARE INC
Organization’s Mailing Address P O BOX 19962
City COLORADO CITY
State CO
ZIP 81019-0962
Accounting period End 12
Primary contact name FRANK PALCIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK PALCIC
CEO/PRESIDENT
P O BOX 20104
COLORADO CITY CO 81019-2104

Officer/Director/Trustee Two

MELANIE PALCIC
DIRECTOR
P O BOX 20104
COLORADO CITY CO 81019-2104

Officer/Director/Trustee Three

TONY MORENO
DIRECTOR
773 EAST BEDFORD DRIVE
PUEBLO WEST CO 81007-6223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: No
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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