FORM 1023-EZ for THE GOLDEN HIGH SCHOOL ALUMNI FOUNDATION

Field Data
EIN 31-1619330
Case Number EO-2015167-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GOLDEN HIGH SCHOOL ALUMNI FOUNDATION
Organization’s Mailing Address PO BOX 472
City GOLDEN
State CO
ZIP 80402-0472
Accounting period End 12
Primary contact name WILLIAM B TOURTILLOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH CUSACK
PRESIDENT
1716 VIEW POINT ROAD
LAKEWOOD CO 80215

Officer/Director/Trustee Two

JOE KOMORAS
VICE PRESIDENT
125 DEFRANCE WAY
GOLDEN CO 80401

Officer/Director/Trustee Three

CLIF CUSACK
TREASURER
16470 W 12TH DRIVE
GOLDEN CO 80401

Officer/Director/Trustee Four

RACHELLE SCHMIDT
SECRETARY
1666 JAY STREET UNIT 1
LAKEWOOD CO 80214

Organization’s website WWW.GHSALUMNI.US
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/1997
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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