FORM 1023-EZ for RENEW RESPITE

Field Data
EIN 82-0753207
Case Number EO-2017072-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENEW RESPITE
Organization’s Mailing Address 3065 CRAIG CT
City CASTLE ROCK
State CO
ZIP 80109
Accounting period End 12
Primary contact name JOYEL CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRISTI CHAMBERS
CHIEF EXECUTIVE OFFICER
3065 CRAIG CT
CASTLE ROCK CO 80109

Officer/Director/Trustee Two

CAMERON CRAWFORD
CHIEF OPERATING OFFICER
4557 ADDENBROOKE LOOP
CASTLE ROCK CO 80109

Organization’s website
Organization’s email RENEWRESPITE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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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