FORM 1023-EZ for INNOVATION UNC

Field Data
EIN 81-3540498
Case Number EO-2017062-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INNOVATION UNC
Organization’s Mailing Address 501 20TH STREET CAMPUS BOX 22
City GREELEY
State CO
ZIP 80639
Accounting period End 6
Primary contact name SUSAN SIMMERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBBYN WACKER
PRESIDENT
1700 9TH AVENUE
GREELEY CO 80639

Officer/Director/Trustee Two

MICHELLE QUINN
TREASURER
1700 9TH AVENUE
GREELEY CO 80639

Officer/Director/Trustee Three

ROBBYN WACKER
SECRETARY
1700 9TH AVENUE
GREELEY CO 80639

Officer/Director/Trustee Four

SUSAN SIMMERS
ASSISTANT VP FOR FINANCE
1700 9TH AVENUE
GREELEY CO 80639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College Yes
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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