FORM 1023-EZ for DISTRICT ONE

Field Data
EIN 47-2296352
Case Number EO-2014318-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRICT ONE
Organization’s Mailing Address 408 RUSSELL AVE
City WALSENBURG
State CO
ZIP 81089
Accounting period End 12
Primary contact name CINDY CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN ROSINO
EXECUTIVE DIRECTOR
300 D PINKERTON RD
LA VETA CO 81055

Officer/Director/Trustee Two

CINDY CAMPBELL
DIRECTOR
114 W 1ST
LA VETA CO 81055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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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