FORM 1023-EZ for COLORADO VENOM

Field Data
EIN 84-4564004
Case Number EO-2020041-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLORADO VENOM
Organization’s Mailing Address 12860 KING STREET
City BROOMFIELD
State CO
ZIP 80020
Accounting period End 2
Primary contact name TIFFANY BALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY BALL
MRS.
12860 KING STREET
BROOMFIELD CO 80020

Officer/Director/Trustee Two

CHAVELLA JOHNSON
MISS
12181 MELODY DRIVE APT 306
WESMINSTER CO 80234

Officer/Director/Trustee Three

JESSICA MOORHOUSE
MISS
8300 SHERIDAN BLVD APT 31E
ARVADA CO 80003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
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: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIFFANY BALL
Signature Title MRS.
Signature Date 2/6/2020

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