FORM 1023-EZ for DOCS ON DA BLCOK INC

Field Data
EIN 83-3218096
Case Number EO-2019036-000825
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOCS ON DA BLCOK INC
Organization’s Mailing Address 13395 VOYAGER PARKWAY SUITE 130
City COLORADO SPRINGS
State CO
ZIP 80921
Accounting period End 12
Primary contact name ELLE SOLOMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLE SOLOMON
EXECUTIVE DIRECTOR
13395 VOYAGER PARKWAY
COLORADO SPRINGS CO 80921

Officer/Director/Trustee Two

A KEITH SOLOMON
DIRECTOR
13395 VOYAGER PARKWAY
COLORADO SPRINGS CO 80921

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 ELLE SOLOMON
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/21/19

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