FORM 1023-EZ for THOMPSON RIVERS FOUNDATION INC

Field Data
EIN 46-5599024
Case Number EO-2015212-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THOMPSON RIVERS FOUNDATION INC
Organization’s Mailing Address 110 S CENTENNIAL DRIVE SUITE B
City MILLIKEN
State CO
ZIP 80543
Accounting period End 12
Primary contact name ANTON DWORAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEWART ERICKSON
DIRECTOR
895 N 3RD STREET
JOHNSTOWN CO 80534

Officer/Director/Trustee Two

TED CHAVEZ
DIRECTOR
301 ILEX STREET
MILLIKEN CO 80543

Officer/Director/Trustee Three

CLINT DUDLEY
PRESIDENT
110 S CENTENNIAL DR SUITE B
MILLIKEN CO 80543

Officer/Director/Trustee Four

PAULA EASTIN
DIRECTOR
2073 E VILLAGE DRIVE
MILLIKEN CO 80543

Officer/Director/Trustee Five

JOHN DUNLAP
DIRECTOR
2713 WHITE WING RD
JOHNSTOWN CO 80534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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