FORM 1023-EZ for SERVICE FIRST COV

Field Data
EIN 47-4677446
Case Number EO-2015244-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVICE FIRST COV
Organization’s Mailing Address PO BOX 3681
City PARKER
State CO
ZIP 80134
Accounting period End 12
Primary contact name MICHAEL L POOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE OFIESH
DIRECTOR
777 BLUEBIRD DR
BAILEY CO 80421

Officer/Director/Trustee Two

TAMARA POOL
DIRECTOR
16600 E PHILLIPS LN
ENGLEWOOD CO 80112

Officer/Director/Trustee Three

MICHAEL POOL
DIRECTOR
16600 E PHILLIPS LN
ENGLEWOOD CO 80112

Organization’s website
Organization’s email INFO@SFCOV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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