FORM 1023-EZ for HEADWATERS PROTECTORS

Field Data
EIN 86-2244883
Case Number EO-2021093-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEADWATERS PROTECTORS
Organization’s Mailing Address 7505 W YALE AVE UNIT 3003
City DENVER
State CO
ZIP 80227
Accounting period End 2
Primary contact name WILLIAM B PEETE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EAN TAFOYA
PRESIDENT
7505 W YALE AVE UNIT 3003
DENVER CO 80305-5313

Officer/Director/Trustee Two

WILLIAM PEETE
SECRETARY/TREASURER
3255 DOVER DR
BOULDER CO 80305-5313

Officer/Director/Trustee Three

MICHELLE CHRISTIANCE
DIRECTOR
7505 W YALE AVE UNIT 3003
DENVER CO 80227

Officer/Director/Trustee Four

ANTONINA CLARKE
DIRECTOR
7505 W YALE AVE UNIT 3003
DENVER CO 80227

Officer/Director/Trustee Five

LINDEE ZIMMER
DIRECTOR
7505 W YALE AVE UNIT 3003
DENVER CO 80227

Organization’s website
Organization’s email HEADWATERSPROTECTORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
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 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 WILLIAM PEETE
Signature Title SECRETARY/TREASURER
Signature Date 2/28/2021

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