FORM 1023-EZ for GROUNDWORK RANCH

Field Data
EIN 83-4293198
Case Number EO-2019148-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROUNDWORK RANCH
Organization’s Mailing Address PO BOX 270354
City LOUISVILLE
State CO
ZIP 80027
Accounting period End 12
Primary contact name CHYLA GRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOTTIE GRIMES
FOUNDER
10433 DILLON RD
BROOMFIELD CO 80020

Officer/Director/Trustee Two

DAVE WYNER
FOUNDER
696 TAMARISK COURT
LOUISVILLE CO 80027

Officer/Director/Trustee Three

ESTELLE PINSKY
DIRECTOR
13522 VIA VARRA
BROOMFIELD CO 80020

Officer/Director/Trustee Four

JUDY WOLFE
DIRECTOR
856 HUTCHENSON DR
BLACKSBURG VA 24060

Officer/Director/Trustee Five

JACI WOODBURN
DIRECTOR OF OPERATIONS
10730 MOORE CIR
WESTMINSTER CO 80021

Organization’s website WWW.GROUNDWORKRANCH.ORG
Organization’s email DAVE@GROUNDWORKRANCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 DAVE WYNER
Signature Title FOUNDER
Signature Date 5/23/19

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