FORM 1023-EZ for ELK CREEK FIELD FOUNDATION

Field Data
EIN 47-2111479
Case Number EO-2015029-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELK CREEK FIELD FOUNDATION
Organization’s Mailing Address 13304 US HIGHWAY 285
City PINE
State CO
ZIP 80470
Accounting period End 12
Primary contact name JOHN SEEVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SEEVERS
TREASURER, BOARD MEMBER
28000 MEADOW DRIVE STE 104
EVERGREEN CO 80439

Officer/Director/Trustee Two

MELISSA PAYNE
BOARD CHAIR PRESIDENT
13304 US HIGHWAY 285
PINE CO 80470

Officer/Director/Trustee Three

RYAN LUCAS
VICE CHAIR
13304 US HIGHWAY 285
PINE CO 80470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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