FORM 1023-EZ for THE COUFFO COLLABORATIVE

Field Data
EIN 82-2084616
Case Number EO-2017289-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COUFFO COLLABORATIVE
Organization’s Mailing Address PO BOX 308
City SANTA FE
State NM
ZIP 87504-8804
Accounting period End 12
Primary contact name JAMES KENNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES KENNELL
PRESIDENT/ DIRECTOR
PO BOX 308
SANTA FE NM 87504-0308

Officer/Director/Trustee Two

SHAUNA CLAIBORNE
TREASURER/ DIRECTOR
PO BOX 308
SANTA FE NM 87504-0308

Officer/Director/Trustee Three

BRUCE MOSELEY
DIRECTOR
PO BOX 308
SANTA FE NM 87504-0308

Organization’s website WWW.COUFFO.ORG
Organization’s email JAMES@COUFFO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2017
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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