FORM 1023-EZ for DAYBREAK - AN ADULT DAY PROGRAM
| Field | Data |
|---|---|
| EIN | 47-2324735 |
| Case Number | EO-2014340-000241 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DAYBREAK - AN ADULT DAY PROGRAM |
| Organization’s Mailing Address | PO BOX 4777 |
| City | WOODLAND PARK |
| State | CO |
| ZIP | 80866 |
| Accounting period End | 12 |
| Primary contact name | PAULA LEVY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
PAULA LEVY
PRESIDENT, DIRECTOR
19263 E US HIGHWAY 24
WOODLAND PARK CO 80863
Officer/Director/Trustee Two
MARY BARROWMAN
SECRETARY, DIRECTOR
1069 LAKEVIEW FOREST HTS
FLORISSANT CO 80816
Officer/Director/Trustee Three
RICK CHULICK
TREASURER, DIRECTOR
225 SUN RIDGE CT
WOODLAND PARK CO 80863
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/14/2014 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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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