FORM 1023-EZ for WESTERN GARFIELD COUNTY CHAMBER FOUNDATION

Field Data
EIN 84-5186224
Case Number EO-2020083-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN GARFIELD COUNTY CHAMBER FOUNDATION
Organization’s Mailing Address 100 EAST 11TH STREET
City RIFLE
State CO
ZIP 81650
Accounting period End 12
Primary contact name WEISS & ASSOCIATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCEY HODSHIRE
CHAIR
2898 CR 210
RIFLE CO 81650

Officer/Director/Trustee Two

JESSICA PAUGH
CO-CHAIR
452 WEST 3RD STREET
RIFLE CO 81650

Officer/Director/Trustee Three

TINA HOLTZ
SECRETARY
0283 SOUTH CEDAR SPRINGS RANCH ROAD
RIFLE CO 81650

Officer/Director/Trustee Four

RAQUEL LOPEZ
MEMBER
424 RAILROAD AVE
RIFLE CO 81650

Officer/Director/Trustee Five

KAREN ROBERTS
MEMBER
235 HUTTSON AVENUE
RIFLE CO 81650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 MARCEY HODSHIRE
Signature Title CHAIR
Signature Date 3/20/2020

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