FORM 1023-EZ for GREEN THUMB INITIATIVE

Field Data
EIN 83-2070372
Case Number EO-2019212-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN THUMB INITIATIVE
Organization’s Mailing Address 1012 MAIN STREET
City CANON CITY
State CO
ZIP 81212
Accounting period End 12
Primary contact name EVGUENIA LUBENOVA GUENTCHEVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVGUENIA GUENTCHEVA
EXECUTIVE DIRECTOR
1012 MAIN STREET
CANON CITY CO 81212

Officer/Director/Trustee Two

BRIAN MONAHAN
FINANCIAL DIRECTOR
1012 MAIN STREET
CANON CITY CO 81212

Officer/Director/Trustee Three

PATRICK MARTIN
SECRETARY
615 MAIN STREET
CANON CITY CO 81212

Officer/Director/Trustee Four

ROBIN MOUTRAY
CHAIRMAN
914 GARFIELD STREET
CANON CITY CO 81212

Officer/Director/Trustee Five

KRISTIN BROWN
BOARD MEMBER
615 MAIN STREET
CANON CITY CO 81212

Organization’s website WWW.GREENTHUMB-INITIATIVE.COM
Organization’s email GENTCHEV@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
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 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 EVGUENIA GUENTCHEVA
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/29/19

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