FORM 1023-EZ for ROCKY MOUNTAIN WELSH SPRINGER SPANIEL CLUB

Field Data
EIN 46-3600773
Case Number EO-2015091-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKY MOUNTAIN WELSH SPRINGER SPANIEL CLUB
Organization’s Mailing Address 2721 WEST 15TH STREET
City GREELEY
State CO
ZIP 80634
Accounting period End 12
Primary contact name PEGGY NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON SHERWOOD
PRESIDENT
2721 WEST 15TH STREET
GREELEY CO 80634

Officer/Director/Trustee Two

PEGGY NELSON
TREASURER/VICE PRESIDENT
1383 ROSE DRIVE
BRIGHTON CO 80601

Officer/Director/Trustee Three

JOE WOOD
SECRETARY
4781 WELD COUNTY ROAD 24 3/4
LONGMONT CO 80504

Officer/Director/Trustee Four

KATHERINE GOODRICH
VOTING MEMBER
940 RED MOUNTAIN ROAD
LIVERMORE CO 80536

Officer/Director/Trustee Five

CHRISTINA SECORD-BUNN
VOTING MEMBER
8209 MUMMY RANGE DRIVE
FT. COLLINS CO 80528

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2013
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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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