FORM 1023-EZ for THE EMBASSY OF HEALING CORPORATIONDBA EMBASSY OF HEALING-COLORADO

Field Data
EIN 81-2259804
Case Number EO-2016116-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EMBASSY OF HEALING CORPORATIONDBA EMBASSY OF HEALING-COLORADO
Organization’s Mailing Address 7456 W 5TH AVE STE 300
City LAKEWOOD
State CO
ZIP 80226-1615
Accounting period End 12
Primary contact name LORI JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORI JACKSON
CHIEF EXECUTIVE OFFICER
7456 W 5TH AVE STE 300
LAKEWOOD CO 80226-1615

Officer/Director/Trustee Two

JENNIE O BOYLE
CHIEF OPERATING OFFICER
7456 W 5TH AVE STE 300
LAKEWOOD CO 80226-1615

Officer/Director/Trustee Three

SARAH HAYS
CHIEF DEVELOPMENT OFFICER
1001 E 62ND AVE 123
DENVER CO 80216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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
Signature Title
Signature Date

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