FORM 1023-EZ for GOLDEN EAGLE SITE COUNCIL

Field Data
EIN 81-1086327
Case Number EO-2016020-000534
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLDEN EAGLE SITE COUNCIL
Organization’s Mailing Address PO BOX 5762
City EAGLE
State CO
ZIP 81631
Accounting period End 12
Primary contact name JACQUELINE SCHEMPF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE SCHEMPF
PRESIDENT
PO BOX 1704
EAGLE CO 81631

Officer/Director/Trustee Two

JOHNNETTE PHILLIPS
VICE PRESIDENT
PO BOX 42
EAGLE CO 81631

Officer/Director/Trustee Three

SUSIE KEYSOR
SECRETARY
PO BOX 1686
GYPSUM CO 81637

Officer/Director/Trustee Four

JILL CLEGHORN
TREASURER
PO BOX 1807
GYPSUM CO 81631

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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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