FORM 1023-EZ for JACOBS LADDER ASSOCIATION

Field Data
EIN 81-3812809
Case Number EO-2016285-000487
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACOBS LADDER ASSOCIATION
Organization’s Mailing Address 6381 BEECH COURT
City ARVADA
State CO
ZIP 80004
Accounting period End 12
Primary contact name WADE L HAFEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WADE HAFEY
CHAIRMAN
6381 BEECH COURT
ARVADA CO 80004

Officer/Director/Trustee Two

AMY HAFEY
SECRETARY/TREASURER
6381 BEECH COURT
ARVADA CO 80004

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
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: No
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 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
Signature Title
Signature Date

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