FORM 1023-EZ for CAMP HUMMEL VETERANS RETREAT

Field Data
EIN 86-2106039
Case Number EO-2021133-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP HUMMEL VETERANS RETREAT
Organization’s Mailing Address 3055 CORONA TRAIL APT 102
City BOULDER
State CO
ZIP 80301
Accounting period End 2
Primary contact name ROY GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY GEORGE
CEO
3055 CORONA TRAIL
BOULDER CO 80301

Officer/Director/Trustee Two

WILLARD WELLS
CHAIRMAN OF THE BOARD
4500 9THJ STREET
BOULDER CO 80304

Officer/Director/Trustee Three

DON ELDHART
FINANCE
91 CAMINO BESQUE
BOULDER CO 80302

Organization’s website
Organization’s email ROYGEORGE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROY GEORGE
Signature Title CEO
Signature Date 5/11/2021

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