FORM 1023-EZ for FORMED IN HIS HANDS

Field Data
EIN 84-4650488
Case Number EO-2020270-000020
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORMED IN HIS HANDS
Organization’s Mailing Address 9175 COUNTY ROAD 166
City SALIDA
State CO
ZIP 81201
Accounting period End 12
Primary contact name LISA BLAKESLEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BLAKESLEE
CHAIRMAN TREASURER
9175 COUNTY ROAD 166
SALIDA CO 81201

Officer/Director/Trustee Two

DAVID BLAKESLEE
VICE CHAIRMAN
9175 COUNTY ROAD 166
SALIDA CO 81201

Officer/Director/Trustee Three

JASON SMITH
SECRETARY
1120 H STREET
SALIDA CO 81201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
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: 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 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 LISA BLAKESLEE
Signature Title CHAIRMAN TREASURER
Signature Date 9/23/2020

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