FORM 1023-EZ for COMMUNITY COALITIONS OF IDAHO

Field Data
EIN 45-5382134
Case Number EO-2015146-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY COALITIONS OF IDAHO
Organization’s Mailing Address 10617 N LAKEVIEW DR
City HAYDEN LAKE
State ID
ZIP 83835
Accounting period End 12
Primary contact name TAMMY RUBINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY RUBINO
EXECUTIVE DIRECTOR
10617 N LAKEVIEW DR
HAYDEN LAKE ID 83835

Officer/Director/Trustee Two

ALISHA PASSEY
CHAIR
245 N PLACER AVE
IDAHO FALLS ID 83402

Officer/Director/Trustee Three

MICHAEL DAVID
VICE-CHAIR
1050 FOX ACRES STE 106
HAILEY ID 83333

Officer/Director/Trustee Four

CINDY SCHILLER
TREASURER
4852 W SOUTH SLOPE RD
EMMETT ID 83617

Organization’s website COMMUNITYCOALITIONSOFIDAHO.ORG
Organization’s email COMMUNITYCOALITIONSOFIDAHO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2012
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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