FORM 1023-EZ for SOUTHERN COLORADO KOINONIA

Field Data
EIN 46-2227192
Case Number EO-2016042-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN COLORADO KOINONIA
Organization’s Mailing Address PO BOX 75221
City COLORADO SPRINGS
State CO
ZIP 80970
Accounting period End 12
Primary contact name WILLIAM WUEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK GOODMAN
CHAIRPERSON
9172 RED COLUMBINE DRIVE
COLORADO SPRINGS CO 80920

Officer/Director/Trustee Two

JOYCE GILBERT
SECRETARY
16199 GREEN VALLEY RANCH BLVD 2114
DENVER CO 80239

Officer/Director/Trustee Three

WILLIAM WUEST
TREASURER
12 GRADISHAR PLACE
PUEBLO CO 81004

Officer/Director/Trustee Four

KIM MERSMAN
OUTREACH
15260 APEX RANCH ROAD
PEYTON CO 80831

Officer/Director/Trustee Five

MARK FICK
SPIRITUAL COORDINATOR
1806 WEST 102ND
THORNTON CO 80260

Organization’s website WWW.KOINONIA-SCK.ORG
Organization’s email INFORMATION@KOINONIA-SCK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2004
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 No
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 Yes
One Third Support Gifts No
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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