FORM 1023-EZ for BREAD OF LIFE COMMUNITY OUTREACH

Field Data
EIN 82-1451633
Case Number EO-2017184-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAD OF LIFE COMMUNITY OUTREACH
Organization’s Mailing Address 5266 WEEPING WILLOW CIRCLE
City HIGHLANDS RANCH
State CO
ZIP 80130
Accounting period End 12
Primary contact name MARK REGALADO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK REGALADO
PRESIDENT
5266 WEEPING WILLOW CIRCLE
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Two

ELIGIO REGALADO
MEMBER
2154 SOUTH KALAMATH STREET
DENVER CO 80223

Officer/Director/Trustee Three

ALEXANDER CALDERON REGALADO
MEMBER
5266 WEEPING WILLOW CIRCLE
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Four

CAMERON NORRIS
MEMBER
5265 WEEPING WILLOW CIRCLE
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Five

JOSEPH TRETT
MEMBER
2253 SOUTH BUCKLEY ROAD -202
AURORA CO 80013

Organization’s website
Organization’s email BOLCOMMUNITYOUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
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 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 Yes
One Third Support Gifts No
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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