FORM 1023-EZ for BOULDER FOUNDATION

Field Data
EIN 47-1284261
Case Number EO-2015182-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOULDER FOUNDATION
Organization’s Mailing Address 9309 SOUTH EBERHART
City CLARE
State MI
ZIP 48617-9794
Accounting period End 12
Primary contact name BENJAMIN J HERBERT - WILLIS LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL MOLINA
DIRECTOR
9309 SOUTH EBERHART
CLARE MI 48617-9794

Officer/Director/Trustee Two

DARCY MOLINA
DIRECTOR
9309 SOUTH EBERHART
CLARE MI 48617-9794

Officer/Director/Trustee Three

JAMES DUPLOOY
DIRECTOR
9309 SOUTH EBERHART
CLARE MI 48617-9794

Organization’s website WWW.BOULDERFOUNDATION.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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