FORM 1023-EZ for ACUPUNCTURE INNOVATION
| Field | Data |
|---|---|
| EIN | 81-4993914 |
| Case Number | EO-2017066-000129 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ACUPUNCTURE INNOVATION |
| Organization’s Mailing Address | 2955 VALMONT ROAD SUITE 100 |
| City | BOULDER |
| State | CO |
| ZIP | 80301 |
| Accounting period End | 12 |
| Primary contact name | MONICA EDLAUER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MONICA EDLAUER
TREASURER
6665 KALUA ROAD
BOULDER CO 80301
Officer/Director/Trustee Two
RANDI SAVAGE
PRESIDENT
2575 PARK LANE SUITE 101E
LAFAYETTE CO 80026
Officer/Director/Trustee Three
VALERIE HOBBS
SECRETARY
710 TIMOTHY DR
LONGMONT CO 80503
Officer/Director/Trustee Four
JENNIFER ULLMAN
MEMBER AT LARGE
10259 S PARKER RD STE 200D
PARKER CO 80138
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/18/2016 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes 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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