FORM 1023-EZ for ONE ARVADA

Field Data
EIN 83-2960939
Case Number EO-2019101-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE ARVADA
Organization’s Mailing Address 13857 W 67TH WAY
City ARVADA
State CO
ZIP 80004
Accounting period End 12
Primary contact name JOSHUA RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA RODRIGUEZ
DIRECTOR
13857 W 67TH WAY
ARVADA CO 80004

Officer/Director/Trustee Two

AMY RODRIGUEZ
DIRECTOR
13857 W 67TH WAY
ARVADA CO 80004

Officer/Director/Trustee Three

JOSHUA RODRIGUEZ
DIRECTOR
13857 W 67TH WAY
ARVADA CO 80004

Officer/Director/Trustee Four

JOSHUA RODRIGUEZ
DIRECTOR
13857 W 67TH WAY
ARVADA CO 80004

Officer/Director/Trustee Five

JOSHUA RODRIGUEZ
DIRECTOR
13857 W 67TH WAY
ARVADA CO 80004

Organization’s website
Organization’s email JOSHUA.RODRIGUEZ93@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSHUA RODRIGUEZ
Signature Title DIRECTOR
Signature Date 4/9/19

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