FORM 1023-EZ for THE CLIMBING INITIATIVE

Field Data
EIN 84-4133618
Case Number EO-2020252-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CLIMBING INITIATIVE
Organization’s Mailing Address 812 PINEHURST CT
City LOUISVILLE
State CO
ZIP 80027
Accounting period End 12
Primary contact name SUSAN LACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANI DOBROT
BD OF DIRECTORS
2515 S DAWSON ST
LOUISVILLE CO 98108

Officer/Director/Trustee Two

SCOTT PAGEL
BD OF DIRECTORS
210 WEST SHARON RD
CINCINNATI OH 45246

Officer/Director/Trustee Three

LUDIVINE BRUNISSEN
BD OF DIRECTORS
84 HOWE ST 208
NEW HAVEN CT 06511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 SCOTT PAGEL
Signature Title BD OF DIRECTORS
Signature Date 9/3/2020

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