FORM 1023-EZ for SERVANTS OF HOPE

Field Data
EIN 46-1611832
Case Number EO-2014350-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVANTS OF HOPE
Organization’s Mailing Address 8100 RALSTON RD SUITE 220
City ARVADA
State CO
ZIP 80002
Accounting period End 12
Primary contact name RICHARD PALIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD PALIK
PRESIDENT
8054 GRAY CIR
ARVADA CO 80003

Officer/Director/Trustee Two

HEIDI PALIK
TREASURER
10754 W 85TH PL
ARVADA CO 80005

Officer/Director/Trustee Three

DENISE SUTTON
VICE PRESIDENT
10701 W 80TH AVE
ARVADA CO 80005

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2012
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: Yes
Religious: No
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 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
Signature Title
Signature Date

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