FORM 1023-EZ for GRAND MESA STATESMANSHIP ACADEMY

Field Data
EIN 46-2895927
Case Number EO-2015183-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAND MESA STATESMANSHIP ACADEMY
Organization’s Mailing Address 490 1/2 NW CEDAR AVE
City CEDAREDGE
State CO
ZIP 81413-3112
Accounting period End 6
Primary contact name TANYA SIMLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TANYA SIMLER
CHAIRMAN
490 1/2 NW CEDAR AVE
CEDAREDGE CO 81413-3112

Officer/Director/Trustee Two

DIANE CUMMINGS
CO-CHAIRMAN
12075 2165 RD
AUSTIN CO 81410-8348

Officer/Director/Trustee Three

JENNIFER BOWLER
SEC/TREAS
25588 Q25 RD
CEDAREDGE CO 81413-8307

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2013
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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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