FORM 1023-EZ for ACCESS FAMILY

Field Data
EIN 81-1570435
Case Number EO-2016060-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACCESS FAMILY
Organization’s Mailing Address 16366 E FREMONT AVE
City AURORA
State CO
ZIP 80016
Accounting period End 4
Primary contact name PHILLIP DENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP DENT
PRESIDENT AND CEO
16366 E FREMONT AVE
AURORA CO 80016

Officer/Director/Trustee Two

KENNETH RZONCA
VICE PRESIDENT
4972 W CUSTER PL
DENVER CO 80219

Officer/Director/Trustee Three

KATHY FOX
TREASURER
7896 E SUNDANCE TRAIL
PARKER CO 80138

Officer/Director/Trustee Four

BENJAMIN MICHAELS
FUNDRAISING AND EVENTS DIRECTOR
4750 WYANDOT ST
DENVER CO 80211

Organization’s website ACCESSFAM.ORG
Organization’s email PHILDENT@ACCESSFAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 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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