FORM 1023-EZ for BLEED GREEN LANCASTER 17 FOUNDATIONINC

Field Data
EIN 87-2075404
Case Number EO-2021225-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLEED GREEN LANCASTER 17 FOUNDATIONINC
Organization’s Mailing Address 1349 E MAIN ST
City RANGELY
State CO
ZIP 81648-2007
Accounting period End 12
Primary contact name ELIZABETH J SCHOFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMORETTE HAWKINS
PRESIDENT
1349 E MAIN ST
RANGELY CO 86148-2007

Officer/Director/Trustee Two

ELIZABETH SCHOFIELD
VICE PRESIDENT
1349 E MAIN ST
RANGELY CO 81648-2007

Officer/Director/Trustee Three

JUSTYNE PETERS
SECRETARY
1349 E MAIN ST
RANGELY CO 81648-2007

Officer/Director/Trustee Four

MICHAEL MULLEN
TREASURER
1349 E MAIN ST
RANGELY CO 81648-2007

Officer/Director/Trustee Five

KEENAN LEBLEU
DIRECTOR
1349 E MAIN ST
RANGELY CO 81648-2007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 AMORETTE HAWKINS
Signature Title PRESIDENT
Signature Date 8/11/2021

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