FORM 1023-EZ for LONGMONT POLICE K9 ASSOCIATION

Field Data
EIN 81-3611876
Case Number EO-2019290-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONGMONT POLICE K9 ASSOCIATION
Organization’s Mailing Address 225 KIMBARK ST
City LONGMONT
State CO
ZIP 80501
Accounting period End 12
Primary contact name BILLY SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE GRANT
PRESIDENT
3113 MOUNTAIN AVE
LONGMONT CO 80503

Officer/Director/Trustee Two

BILLY SAWYER
VICE PRESIDENT
4485 FRUITA DR
LOVELAND CO 80538

Officer/Director/Trustee Three

CONNER WILLYARD
BOARD MEMBER
200 GRANT ST
FREDERICK CO 80530

Officer/Director/Trustee Four

JOSE RODRIGUEZ LOPEZ
BOARD MEMBER
3587 STONE CANYON RD
LYONS CO 80540

Officer/Director/Trustee Five

TRACY HOWARD
BOARD MEMBER
2131 STEELE ST
LONGMONT CO 80501

Organization’s website WWW.LPK9.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/16
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BILLY SAWYER
Signature Title VICE PRESIDENT
Signature Date 10/15/19
EIN 81-3611876
Case Number EO-2016277-000396
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONGMONT POLICE K9 ASSOCIATION
Organization’s Mailing Address 225 KIMBARK STREET
City LONGMONT
State CO
ZIP 80501
Accounting period End 12
Primary contact name PAULINE GURAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE GURAK
PRESIDENT
3113 MOUNTAIN VIEW AVE
LONGMONT CO 80503-2127

Officer/Director/Trustee Two

BILLY SAWYERS
VICE PRESIDENT
4485 FRUITA DR
LOVELAND CO 80538

Officer/Director/Trustee Three

WALTER ARVISAIS
SECRETARY
770 34TH ST
BOULDER CO 80303

Officer/Director/Trustee Four

MICHAEL MARQUARDT
TREASURER
10160 FALCON ST
FIRESTONE CO 80504

Officer/Director/Trustee Five

MATTHEW ROONEY
BOARD MEMBER
418 SEWARD ST
LYONS CO 80540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 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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