FORM 1023-EZ for FOUNDATION OF THE PEAK TO PEAK ROTARY CLUB

Field Data
EIN 46-2264610
Case Number EO-2014295-000067
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION OF THE PEAK TO PEAK ROTARY CLUB
Organization’s Mailing Address P O BOX 512
City BLACK HAWK
State CO
ZIP 80422-0512
Accounting period End 6
Primary contact name GARY ENNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WALLY CLEAVELAND
PRESIDENT
P O BOX 365
PINECLIFFE CO 80471-0365

Officer/Director/Trustee Two

JIM ELDER
TRUSTEE
P O BOX 3293
NEDERLAND CO 80466-3293

Officer/Director/Trustee Three

JAYDENE MORRISON
VICE PRESIDENT
P O BOX 917
NEDERLAND CO 80466-0917

Officer/Director/Trustee Four

GARY ENNOR
SECRETARY
P O BOX 3065
NEDERLAND CO 80466-3065

Officer/Director/Trustee Five

RICHARD VICKERY JR
TREASURER
29965 MONROE DRIVE
EVERGREEN CO 80439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2013
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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