FORM 1023-EZ for HIGH COUNTRY WORKING EQUITATION

Field Data
EIN 81-1848384
Case Number EO-2016203-000004
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGH COUNTRY WORKING EQUITATION
Organization’s Mailing Address 489 NORTH COUNTY ROAD 23E
City BERTHOUD
State CO
ZIP 80513-9636
Accounting period End 12
Primary contact name KEITH JACOBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH JACOBSON
PRESIDENT/TREASURER
489 NORTH COUNTY ROAD 23E
BERTHOUD CO 80513

Officer/Director/Trustee Two

STACEY RUEL
VICE PRESIDENT
8997 E 35TH AVE
DENVER CO 80238

Officer/Director/Trustee Three

LESLIE MARTIEN
SECRETARY
5006 FORSYTHE PL
BOULDER CO 80303

Officer/Director/Trustee Four

CHRIS STANKO
DIRECTOR
3731 SUZIE LANCE
LOVELAND CO 80537

Officer/Director/Trustee Five

KATHERINE MCLAUGHLIN
DIRECTOR
16191 COUNTY ROAD 17
PLATTEVILLE CO 80651

Organization’s website WWW.HIGHCOUNTRYWORKINGEQUITATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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