FORM 1023-EZ for CHAFFEE CARES

Field Data
EIN 85-0520050
Case Number EO-2020093-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAFFEE CARES
Organization’s Mailing Address 124 DODGE STREET
City SALIDA
State CO
ZIP 81201
Accounting period End 12
Primary contact name PATRICIA J ARTHUR - 2848 POA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON NELSON
PRESIDENT
124 DODGE STREET
SALIDA CO 81201

Officer/Director/Trustee Two

CECILE JOHNSON
SECRETARY
124 DODGE STREET
SALIDA CO 81201

Officer/Director/Trustee Three

STEPHANIE PERKO
TREASURER
124 DODGE STREET
SALIDA CO 81201

Officer/Director/Trustee Four

MARILYN BOULDIN
DIRECTOR
124 DODGE STREET
SALIDA CO 81201

Officer/Director/Trustee Five

SHARON SMITH
DIRECTOR
124 DODGE STREET
SALIDA CO 81201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 SHANNON NELSON
Signature Title PRESIDENT
Signature Date 3/31/2020

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