FORM 1023-EZ for SOUTH PLATTE FORUM

Field Data
EIN 83-1502771
Case Number EO-2018225-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH PLATTE FORUM
Organization’s Mailing Address C/O NORTHERN WATER 220 WATER AVE
City BERTHOUD
State CO
ZIP 80513
Accounting period End 12
Primary contact name SHELLEY THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MARKS
CHAIR
1600 W 12TH AVE
DENVER CO 80254

Officer/Director/Trustee Two

SEAN CRONIN
DIRECTOR
9595 NELSON RD STE 203
LONGMONT CO 80501

Officer/Director/Trustee Three

JEFF STAHLA
DIRECTOR
220 WATER AVE
BERTHOUD CO 80513

Officer/Director/Trustee Four

JOSHUA GODWIN
DIRECTOR
15151 E ALAMEDA PKWY
AURORA CO 80012

Officer/Director/Trustee Five

DAVID SKUODAS
DIRECTOR
2480 W 26TH AVE STE 156-B
DENVER CO 80211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 JASON MARKS
Signature Title CHAIR
Signature Date 8/9/18

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