FORM 1023-EZ for VALLEY COUNTY COMMUNITY CARES

Field Data
EIN 87-2231199
Case Number EO-2021232-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLEY COUNTY COMMUNITY CARES
Organization’s Mailing Address 135 PAR AVE
City CASCADE
State ID
ZIP 83611
Accounting period End 12
Primary contact name JOHN CHRISTOFFERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CHRISTOFFERSON
PRESIDENT
135 PAR AVE
CASCADE ID 83611

Officer/Director/Trustee Two

JEFF GORDEN
VICE PRESIDENT
11069 TWIN VIEW RD
CASCADE ID 83611

Officer/Director/Trustee Three

KRISTIN HERRERA
TREASURE
410 S ORCHARD ST SUITE 136
BOISE ID 83705

Officer/Director/Trustee Four

KIM BOHNHOF
SECRETARY
32 EAST PROSPECTOR
CASCADE ID 83611

Officer/Director/Trustee Five

RON ELLSWROTH
OFFICER
402 LAKE CASCADE PKWY
CASCADE ID 83611

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State ID
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTIN HERRERA
Signature Title TREASURE
Signature Date 8/18/2021

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