FORM 1023-EZ for MONARCH FAMILY

Field Data
EIN 86-2812703
Case Number EO-2021260-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONARCH FAMILY
Organization’s Mailing Address 19636 EAST CASPIAN CIRCLE
City AURORA
State CO
ZIP 80013
Accounting period End 12
Primary contact name COLIN SHALIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLIN SHALIN
CEO & DIR & TREASURER
6619 OTIS COURT
ARVADA CO 80003

Officer/Director/Trustee Two

ELIZABETH FOGED
DIR & PRES & VP-CLINICAL
19636 EAST CASPIAN CIRCLE
AURORA CO 80013

Officer/Director/Trustee Three

BICE MARSOLEK
VP & DIR & VP-ADVOCACY
17250 EAST HAMILTON AVE
AURORA CO 80013

Officer/Director/Trustee Four

LESLIE GAUBERTI
SEC&DIR&VP-RESPITE CARE
1599 LEISURE WORLD
MESA AZ 85206

Organization’s website WWW.MONARCHFAMILY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
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 ELIZABETH FOGED
Signature Title DIR & PRES & VP-CLINICAL
Signature Date 6/12/2021

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