FORM 1023-EZ for VITAL INC

Field Data
EIN 82-2144558
Case Number EO-2018229-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VITAL INC
Organization’s Mailing Address 13598 VIA VARRA UNIT 305
City BROOMFIELD
State CO
ZIP 80020
Accounting period End 12
Primary contact name ALEXANDRA KAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA KAHN
DIRECTOR
13598 VIA VARRA UNIT 305
BROOMFIELD CO 80020

Officer/Director/Trustee Two

DANIELLE ECKERT
DIRECTOR AND TREASURER
4277 MAISE RD
COLUMBUS OH 43225

Officer/Director/Trustee Three

GINA HOAG
SECRETARY
1125 CANNON STREET UNIT 310
LOUISVILLE CO 80027

Organization’s website
Organization’s email TAKEFLIGHTDIGITAL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/17
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 ALEXANDRA KAHN
Signature Title DIRECTOR
Signature Date 8/15/18

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