FORM 1023-EZ for STOP LOOK AND LISTEN

Field Data
EIN 86-1926492
Case Number EO-2021141-000004
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOP LOOK AND LISTEN
Organization’s Mailing Address 177 MOHAWK CIRCLE
City SUPERIOR
State CO
ZIP 80027
Accounting period End 12
Primary contact name MARK KLOSTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK KLOSTERMAN
DEVELOPMENT DIRECTOR
MOHAWK CIRCLE
SUPERIOR CO 80027

Officer/Director/Trustee Two

RENAULD STARR
PRESIDENT
3680 SOUT DANUBE CIRCLE
AURORA CO 80013

Officer/Director/Trustee Three

LATESSHA TOLBERT
TRESURER
3680 SOUT DANUBE CIRCLE
AURORA CO 80013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MARK KLOSTERMAN
Signature Title DEVELOPMENT DIRECTOR
Signature Date 5/15/2021

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