FORM 1023-EZ for ELIZABETH FIREFIGHTERS COMMUNITY FOUNDATION

Field Data
EIN 20-2861740
Case Number EO-2014316-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETH FIREFIGHTERS COMMUNITY FOUNDATION
Organization’s Mailing Address PO BOX 441
City ELIZABETH
State CO
ZIP 80107
Accounting period End 12
Primary contact name CHRISTINA BREINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM NEISEN
PRESIDENT/CHAIRMAN
PO BOX 441
ELIZABETH CO 80107

Officer/Director/Trustee Two

CHRISTINA BREINER
TREASURER
PO BOX 441
ELIZABETH CO 80107

Officer/Director/Trustee Three

KARA GERCYZNSKI
VICE PRESIDENT
PO BOX 441
ELIZABETH CO 80107

Officer/Director/Trustee Four

KATHI LANCASTER
SECRETARY
PO BOX 441
ELIZABETH CO 80107

Officer/Director/Trustee Five

JOSEPH DICKENS
DIRECTOR
PO BOX 441
ELIZABETH CO 80107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2006
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 Yes
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
Signature Title
Signature Date

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