FORM 1023-EZ for BOULDER TRANSFORMATION CENTER
| Field | Data |
|---|---|
| EIN | 83-4166745 |
| Case Number | EO-2019112-000774 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BOULDER TRANSFORMATION CENTER |
| Organization’s Mailing Address | 7483 ARAPAHOE RD |
| City | BOULDER |
| State | CO |
| ZIP | 80303 |
| Accounting period End | 12 |
| Primary contact name | KIM KLEIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JULIANNE MCKAY
VICE PRESIDENT
814 EXCELSIOR PLACE
LAFAYETTE CO 80026
Officer/Director/Trustee Two
KIM KLEIN
PRESIDENT
860 W BASELINE RD APARTMENT 123
LAFAYETTE CO 80026
Officer/Director/Trustee Three
SAMANTHA SMITH KLEIN
TREASURER
1463 WOODCOCK ST
BERTHOUD CO 80513
Officer/Director/Trustee Four
JOANNE GALVIN
SECRETARY
931 HOMER CIRCLE
LAFAYETTE CO 80026
| Organization’s website | |
|---|---|
| Organization’s email | BOULDERTRANSFORM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/11/19 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | KIM KLEIN |
| Signature Title | PRESIDENT |
| Signature Date | 4/19/19 |
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