FORM 1023-EZ for RON SERNA ANTIBULLY PROGRAM

Field Data
EIN 85-1051120
Case Number EO-2020209-001030
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RON SERNA ANTIBULLY PROGRAM
Organization’s Mailing Address 2720 E 8TH STREET
City PUEBLO
State CO
ZIP 81001
Accounting period End 12
Primary contact name RON SERNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON SERNA
CEO
2720 E 8TH STREET
PUEBLO CO 81001

Officer/Director/Trustee Two

HOLLY ORNELAS
PRESIDENT
290 RIM VIEW DRIVE APT D
COLORADO SPRINGS CO 80919

Officer/Director/Trustee Three

ROBERT ORNELAS
VICE PRESIDENT
1691 S HERITAGE CIRCLE
ANAHEIM CA 92804

Officer/Director/Trustee Four

VICTOR ORNELAS
TREASURER
290 RIM VIEW DRIVE APT D
COLORADO SPRINGS CO 80919

Officer/Director/Trustee Five

JAERED ESQUIBEL
SECRETARY
1730 E 13TH STREET
PUEBLO CO 81001

Organization’s website WWW.RONSERNA-ANTI-BULLY.ORG
Organization’s email INFO@RONSERNA-ANTI-BULLY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 RON SERNA
Signature Title CEO
Signature Date 7/21/2020

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