FORM 1023-EZ for ENERGY360 INC

Field Data
EIN 81-3572268
Case Number EO-2016293-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENERGY360 INC
Organization’s Mailing Address 1620 LITTLE RAVEN STREET UNIT 107
City DENVER
State CO
ZIP 80202
Accounting period End 12
Primary contact name LISA HAMIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA HAMIL
PRESIDENT
1620 LITTLE RAVEN STREET UNIT 107
DENVER CO 80202

Officer/Director/Trustee Two

DEBORAH KERRIGAN
SECRETARY
816 ACOMA STREET
DENVER CO 80204

Organization’s website ENERGY360.US
Organization’s email LHAMIL@ENERGY360.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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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