FORM 1023-EZ for CYCLUSBREAK FOUNDATION

Field Data
EIN 83-1891896
Case Number EO-2018284-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYCLUSBREAK FOUNDATION
Organization’s Mailing Address 3222 CHAMPA STREET
City DENVER
State CO
ZIP 80205
Accounting period End 12
Primary contact name LINDA RUIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA RUIZ
DIRECTOR
3222 CHAMPA STREET
DENVER CO 80205

Officer/Director/Trustee Two

RENEE ROMERO
DIRECTOR
3222 CHAMPA STREET
DENVER CO 80205

Officer/Director/Trustee Three

ELLEN ALIRES-TRUJILLO
DIRECTOR
3222 CHAMPA STREET
DENVER CO 80205

Organization’s website
Organization’s email RROMERO@CYCLUSBREAK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 Yes
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 LINDA RUIZ
Signature Title DIRECTOR
Signature Date 10/9/18

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