FORM 1023-EZ for UN-17

Field Data
EIN 83-4043434
Case Number EO-2019140-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UN-17
Organization’s Mailing Address 523 SEDONA MEADOWS
City RIO RANCHO
State NM
ZIP 87144
Accounting period End 12
Primary contact name DANA KOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA KOLLER
BOARD PRESIDENT
523 SEDONA MEADOWS
RIO RANCHO NM 87144

Officer/Director/Trustee Two

PRISCILLA MEDINA
BOARD TREASURER
523 SEDONA MEADOWS
RIO RANCHO NM 87144

Officer/Director/Trustee Three

CORINNE FOX
BOARD SECRETARY
523 SEDONA MEADOWS
RIO RANCHO NM 87144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q42 - United Nations Association
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 DANA KOLLER
Signature Title BOARD PRESIDENT
Signature Date 5/16/19

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