FORM 1023-EZ for COACHING SUICIDE AWARENESS

Field Data
EIN 85-0516281
Case Number EO-2021239-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COACHING SUICIDE AWARENESS
Organization’s Mailing Address PO BOX 3717
City PAGOSA SPRINGS
State CO
ZIP 81147
Accounting period End 12
Primary contact name MICHAEL MARX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MARX
DR
11078 HIGHWAY 84
PAGOSA SPRINGS CO 81147

Officer/Director/Trustee Two

JIM FANTAUZZO
DR
7349 RESERVE CREEK DRIVE
PORT ST LUCIE FL 34986

Officer/Director/Trustee Three

JAMES STONE
DR
24 BELLEWOOD CIR
SYRACUSE NY 13212

Officer/Director/Trustee Four

ELIZABETH MCCARTY
SECRETARY
1960 VALLEJO STREET APT 1
SAN FRANCISCO CA 94123

Organization’s website COACHINGSUICIDEAWARENESS.COM
Organization’s email ADMIN@COACHINGSUICIDEAWARENESS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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 MICHAEL MARX
Signature Title DR
Signature Date 8/25/2021

Recently Saved Organizations

Click on the save icon from a search results or organization page.