FORM 1023-EZ for ADAMS COUNTY SHERIFFS FOUNDATION

Field Data
EIN 81-1494233
Case Number EO-2016097-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADAMS COUNTY SHERIFFS FOUNDATION
Organization’s Mailing Address 332 N 19TH AVE
City BRIGHTON
State CO
ZIP 80601
Accounting period End 12
Primary contact name MICHAEL MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL MCINTOSH
DIRECTOR
332 N 19TH AVE
BRIGHTON CO 80601

Officer/Director/Trustee Two

MARC OSBORNE
DIRECTOR
332 N 19TH AVE
BRIGHTON CO 80601

Officer/Director/Trustee Three

JACOB REIMERS
DIRECTOR
332 N 19TH AVE
BRIGHTON CO 80601

Officer/Director/Trustee Four

NATASHA BLAIR
DIRECTOR
332 N 19TH AVE
BRIGHTON CO 80601

Officer/Director/Trustee Five

LOUIS GARONE
DIRECTOR
332 N 19TH AVE
BRIGHTON CO 80601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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