FORM 1023-EZ for WESTERN ROCKIES EMMAUS INC

Field Data
EIN 46-4747243
Case Number EO-2016084-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN ROCKIES EMMAUS INC
Organization’s Mailing Address PO BOX 583
City MONTROSE
State CO
ZIP 81402-0583
Accounting period End 12
Primary contact name STEPHEN V GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE BECKER
COMMUNITY LAY DIRECTOR/CHAIRPERSON
4017 WATERFALL DR
MONTROSE CO 81403-9035

Officer/Director/Trustee Two

CHARLIE FARRELL
ASST COMMUNITY LAY DIRECTOR/VICE CH
24727 SORRENTO LN
CEDAREDGE CO 81413-8421

Officer/Director/Trustee Three

JANENE BLUE
SECRETARY
24727 SORRENTO LN
CEDAREDGE CO 81413-8421

Officer/Director/Trustee Four

STEPHEN GRAY
TREASURER
62573 SPRING CREEK RD
MONTROSE CO 81403-7934

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/1998
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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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