FORM 1023-EZ for HOUSINGFIRST LAB

Field Data
EIN 84-1840145
Case Number EO-2019148-000656
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSINGFIRST LAB
Organization’s Mailing Address 2525 18TH STREET APT 540
City DENVER
State CO
ZIP 80211
Accounting period End 12
Primary contact name BLAINE PELLICORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINE PELLICORE
FOUNDER & CHAIR
2525 18TH STREET APT 540
DENVER CO 80211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 BLAINE PELLICORE
Signature Title FOUNDER & CHAIR
Signature Date 5/26/19

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