FORM 1023-EZ for NAMI SOUTHEAST COLORADO

Field Data
EIN 47-2421000
Case Number EO-2014353-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI SOUTHEAST COLORADO
Organization’s Mailing Address 1078 W DESERT SAGE DR
City PUEBLO WEST
State CO
ZIP 81007-4057
Accounting period End 12
Primary contact name BARBARA BROADBOOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAN STEERS
PRESIDENT
510 N 19TH ST APT 16
CANON CITY CO 81212-2429

Officer/Director/Trustee Two

BARBARA BROADBOOKS
TREASURER
1078 W DESERT SAGE DR
PUEBLO WEST CO 81007-4057

Officer/Director/Trustee Three

SHARON WHITNEY
VICE PRESIDENT
1507 CENTRAL AVE
CANON CITY CO 81212-8576

Officer/Director/Trustee Four

MICHELLE DUNCAN
SECRETARY
49 ROBERTSON RD
PUEBLO CO 81001-1750

Officer/Director/Trustee Five

ADINA VEGA
DIRECTOR
375 S PIN HIGH DR
PUEBLO WEST CO 81007-6034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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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