FORM 1023-EZ for PHILLIPS COUNTY PLAYERS

Field Data
EIN 47-3211093
Case Number EO-2015194-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHILLIPS COUNTY PLAYERS
Organization’s Mailing Address 840 BELFORD AVENUE
City HOLYOKE
State CO
ZIP 80734
Accounting period End 12
Primary contact name ERIC R CONKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC CONKLIN
PRESIDENT
840 SOUTH BELFORD AVENUE
HOLYOKE CO 80734

Officer/Director/Trustee Two

PENNY DOCKINS
TREASURER
410 SOUTH BOWMAN AVENUE
HOLYOKE CO 80734

Officer/Director/Trustee Three

KAREN SWAN
VICE PRESIDENT
329 EAST STROHM
HAXTUN CO 80731

Officer/Director/Trustee Four

JANEL WAILES
SECRETARY
416 SOUTH CAMPBELL AVENUE
HOLYOKE CO 80734

Officer/Director/Trustee Five

DOLORES SMITH
MEMBER
638 EAST GORDON
HOLYOKE CO 80734

Organization’s website WWW.//PHILLIPSCOUNTYPLAYERS.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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