FORM 1023-EZ for THE EDIBLE REVOLUTION

Field Data
EIN 82-2138739
Case Number EO-2017268-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EDIBLE REVOLUTION
Organization’s Mailing Address 1860 WASHINGTON STREET UNIT 206
City DENVER
State CO
ZIP 80203
Accounting period End 5
Primary contact name CHELLY KLANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELLY KLANN
EXECUTIVE DIRECTOR
1860 WASHINGTON STREET
DENVER CO 80203-5515

Officer/Director/Trustee Two

WILLIAM BOTTOMS
PRESIDENT
3127 S INDIANA STREET
LAKEWOOD CO 80228

Officer/Director/Trustee Three

JIM PITTENGER
VICE PRESIDENT
8062 LEE COURT
ARVADA CO 80005

Organization’s website WWW.EDIBLEREVOLUTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition 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
Signature Title
Signature Date

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