FORM 1023-EZ for HIGH COUNTRY VETERANS ADVENTURES

Field Data
EIN 81-3836519
Case Number EO-2016263-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGH COUNTRY VETERANS ADVENTURES
Organization’s Mailing Address PO BOX 4353
City DILLON
State CO
ZIP 80435
Accounting period End 12
Primary contact name AUSTIN BREUNINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROCK JOHNSON
SECRETARY AND TREASURER
1636 BLUE RIDGE ROAD
SILVERTHORNE CO 80498

Officer/Director/Trustee Two

BRANDON ROZARIO
VICE PRESIDENT
117 S PUTTER DRIVE
ANDOVER KS 67002

Officer/Director/Trustee Three

ROBERT JOHNSON
DIRECTOR
3325 SW 46TH ST
TOPEKA KS 66614

Officer/Director/Trustee Four

AUSTIN BREUNINGER
PRESIDENT
512 TENDERFOOT ST APT 114
DILLON CO 80435

Organization’s website WWW.HIGHCOUNTRYVETERANSADVENTURES.ORG
Organization’s email AUSTINB@HIGHCOUNTRYVETERANSADVENTURES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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