FORM 1023-EZ for REMAIN SAFE INCORPORATED

Field Data
EIN 82-2991764
Case Number EO-2017292-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REMAIN SAFE INCORPORATED
Organization’s Mailing Address 6703 KIPLING STREET
City ARVADA
State CO
ZIP 80004
Accounting period End 10
Primary contact name CHIEF GALLEGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHIEF GALLEGOS
PRESIDENT
6703 KIPLING STREET
ARVADA CO 80004

Officer/Director/Trustee Two

DENISE MEDINA
TREASURER
6703 KIPLING STREET
ARVADA CO 80004

Officer/Director/Trustee Three

JAMES WILSON
CHAIRPERSON
233 WILLOW CREEK TRAIL
BATTLEMENT MESA CO 81635

Officer/Director/Trustee Four

FAYE MEDINA-PAYNE
OFFICER
5923 PIERCE STREET UNIT 103
ARVADA CO 80003

Officer/Director/Trustee Five

RICARDO RAMIREZ
OFFICER
8350 BED STRAW STREET
PARKER CO 80134

Organization’s website WWW.REMAINSAFE.ORG
Organization’s email CHIEFG@REMAINSAFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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