FORM 1023-EZ for JOSEPHS MISSION

Field Data
EIN 37-1913051
Case Number EO-2018318-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSEPHS MISSION
Organization’s Mailing Address 317 ROCK BRIDGE DR
City WINDSOR
State CO
ZIP 80550
Accounting period End 12
Primary contact name CATHY HARRIS TRUJILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY HARRIS
DIRECTOR
317 ROCK BRIDGE DR
WINDSOR CO 80550

Officer/Director/Trustee Two

KEN NEET
OFFICER
6264 W 3RD ST RD
GREELEY CO 80634

Officer/Director/Trustee Three

JIM POX
OFFICER
857 PANORAMA PL
WINDSOR CO 80550

Officer/Director/Trustee Four

BOB JOHNSON
OFFICER
2106 FAIRWAY LN
GREELEY CO 80634

Officer/Director/Trustee Five

NENA GARCIA
OFFICER
8473 CHERRYBLOSSOM DR
WINDSOR CO 80550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHY HARRIS
Signature Title DIRECTOR
Signature Date 11/12/18

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