FORM 1023-EZ for CLIMBING FOR CARLEEN

Field Data
EIN 47-4485101
Case Number EO-2015218-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIMBING FOR CARLEEN
Organization’s Mailing Address 628 HIGHWAY 105
City PALMER LAKE
State CO
ZIP 80133
Accounting period End 12
Primary contact name JAMES MCGUFFEY PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES MCGUFFEY
PRESIDENT DIRECTOR
628 HWY 105
PALMER LAKE CO

Officer/Director/Trustee Two

AMBER MCGREGOR
TREASURER SECRETARY DIRECTOR
5625 S ALAMO CT
LITTLETON CO 80123

Officer/Director/Trustee Three

REGGIE HORNER
DIRECTOR VICE PRESIDENT
33 PARK CT
PENDLETON IN 46064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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