FORM 1023-EZ for HANDS MENDING HOPE

Field Data
EIN 47-1257346
Case Number EO-2015006-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HANDS MENDING HOPE
Organization’s Mailing Address 31501 COUNTY RD W
City BRUSH
State CO
ZIP 80723
Accounting period End 12
Primary contact name TARA SAMPLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDY HANSEN
PRESIDENT
31501 COUNTY RD W
BRUSH CO 80723

Officer/Director/Trustee Two

RAQUEL ORONA
VICE PRESIDENT
428 STANFORD ST
BRUSH CO 80723

Officer/Director/Trustee Three

TARA SAMPLES
SECRETARY/TREASURER
18071 COUNTY RD 26-2
BRUSH CO 80723

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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