FORM 1023-EZ for CLUB AT PRADERA BOARD OF ADVISORS

Field Data
EIN 83-1209312
Case Number EO-2018197-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB AT PRADERA BOARD OF ADVISORS
Organization’s Mailing Address 4735 DESPERADO WAY
City PARKER
State CO
ZIP 80134
Accounting period End 12
Primary contact name DAVID MUNDIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MUNDIS
OFFICER
4735 DESPERADO WAY
PARKER CO 80134

Officer/Director/Trustee Two

DAVID STAVES
OFFICER
4904 WAGONTRAIL CT
PARKER CO 80134

Officer/Director/Trustee Three

MICHAEL GILBERT
OFFICER
5123 RAINTREE DR
PARKER CO 80134

Officer/Director/Trustee Four

REX AGLER
OFFICER
7494 NORFOLK PL
CASTLE ROCK CO 80108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 DAVID MUNDIS
Signature Title OFFICER
Signature Date 7/12/18

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