FORM 1023-EZ for BARRIOS UNIDOS

Field Data
EIN 81-0867528
Case Number EO-2016004-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARRIOS UNIDOS
Organization’s Mailing Address PO BOX 865
City SANTA CRUZ
State NM
ZIP 87567
Accounting period End 12
Primary contact name ROSS GRIEGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUPE SALAZAR
PRESIDENT
SR 76 NUMBER 919
SANTA CRUZ NM 87567

Officer/Director/Trustee Two

DAVID BARTON
VICE PRESIDENT
22306 CAMINO ARTISTA
SANAT FE NM 87505

Officer/Director/Trustee Three

AZUL DE LA LUZ
DIRECTOR
PO BOX 865
SANTA CRUZ NM 87567

Officer/Director/Trustee Four

ROSS GRIEGO
DIRECTOR
PO BOX 132
CHIMAYO NM 87532

Officer/Director/Trustee Five

TUCKER BROWN
DIRECTOR
1604 OAK STREET
LA GRANDE OR 97850

Organization’s website
Organization’s email DBARTON@NNMC.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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