FORM 1023-EZ for SPARK

Field Data
EIN 81-3854866
Case Number EO-2016301-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPARK
Organization’s Mailing Address 306 ROSALIE DR
City DURANGO
State CO
ZIP 81301
Accounting period End 12
Primary contact name MICHAELA KNOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BAXTER
CO-PRESIDENT, DIRECTOR
625 E 6TH AVE
DURANGO CO 81301

Officer/Director/Trustee Two

MICHAELA KNOX
CO-PRESIDENT, DIRECTOR
306 ROSALIE DR
DURANGO CO 81301

Officer/Director/Trustee Three

INGRID ALT
SECRETARY, DIRECTOR
6 AQUARIUS PL
DURANGO CO 81301

Officer/Director/Trustee Four

ASHLEY HEIN
TREASURER, DIRECTOR
3206 MAIN AVE
DURANGO CO 81320

Organization’s website WWW.SPARKDANCEPROGRAM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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 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
Signature Title
Signature Date

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