FORM 1023-EZ for ANGEL NICOLAS INC

Field Data
EIN 84-4320670
Case Number EO-2020021-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL NICOLAS INC
Organization’s Mailing Address 3823 S GIBRALTAR ST
City AURORA
State CO
ZIP 80013
Accounting period End 12
Primary contact name DAVID A WACHSMANN EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGEL PEDEMONTE
PRESIDENT
3823 S GIBRALTAR ST
AURORA CO 80013

Officer/Director/Trustee Two

ANDREA GIROLMO
TREASURER
10824 W EVANS AVE UNIT 27
LAKEWOOD CO 80227

Officer/Director/Trustee Three

DELFINA CARRILLO TAPIA
SECRETARY
15650 E PURDUE DR
AURORA CO 80013

Organization’s website
Organization’s email ANGEL_GALANT@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 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 ANGEL PEDEMONTE
Signature Title PRESIDENT
Signature Date 1/16/2020

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