FORM 1023-EZ for PUEBLO ACTIVE COMMUNITY ENVIRONMENTS PACE

Field Data
EIN 81-4483378
Case Number EO-2016330-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUEBLO ACTIVE COMMUNITY ENVIRONMENTS PACE
Organization’s Mailing Address 270 W BEN HOGAN DR
City PUEBLO WEST
State CO
ZIP 81007-3602
Accounting period End 12
Primary contact name KIM ARLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY ARLINE
CHAIRPERSON
270 W BEN HOGAN DR
PUEBLO WEST CO 81007-3602

Officer/Director/Trustee Two

STEPHANIE CHAMBERS
VICE CHAIRPERSON
948 S HARMONY LANE
PUEBLO WEST CO 81007

Officer/Director/Trustee Three

DONALD BRUESTLE
TREASURER
260 LAMAR AVE APT 808
PUEBLO CO 81004-1937

Officer/Director/Trustee Four

MAUREEN GARELICK
SECRETARY
416 W 20TH ST
PUEBLO CO 81003

Organization’s website WWW.ACTIVEPUEBLO.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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