FORM 1023-EZ for MILL SITE

Field Data
EIN 84-4611536
Case Number EO-2020114-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILL SITE
Organization’s Mailing Address 4593 BROADWAY ST STE A100
City BOULDER
State CO
ZIP 80304
Accounting period End 12
Primary contact name ANDY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY CLARK
EXECUTIVE DIRECTOR
140 WALNUT ST
LOUISVILLE CO 80027

Officer/Director/Trustee Two

PHIL TAYLOR
VICE CHAIRMAN
703 ITHACA DRIVE
BOULDER CO 80305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 ANDY CLARK
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/21/2020

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