FORM 1023-EZ for COURAGEOUS CARE FAMILY FOUNDATION INC

Field Data
EIN 81-4394749
Case Number EO-2016319-000625
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COURAGEOUS CARE FAMILY FOUNDATION INC
Organization’s Mailing Address 834F S PERRY ST STE 551
City CASTLE ROCK
State CO
ZIP 80104
Accounting period End 12
Primary contact name JILL GODBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL GODBY
PRESIDENT, DIRECTOR
5118 ZION CT
CASTLE ROCK CO 80109

Officer/Director/Trustee Two

CINDY ELLIS
TREASURER, DIRECTOR
49 FEATHER CT
PAGOSA SPRINGS CO 81147

Officer/Director/Trustee Three

LINDA ARCIBAL
SECRETARY, DIRECTOR
2908 FOREST MEADOW DR
ROUNDROCK TX 78665

Officer/Director/Trustee Four

EVAN PISICK
DIRECTOR
2520 ELISHA AVE
ZION IL 60099

Officer/Director/Trustee Five

TRACY THOMAS
DIRECTOR
2520 ELISHA AVE
ZION IL 60099

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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