FORM 1023-EZ for PIVOTAL PLACES

Field Data
EIN 84-3986862
Case Number EO-2020148-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIVOTAL PLACES
Organization’s Mailing Address 208 2ND STREET
City FORT COLLINS
State CO
ZIP 80524
Accounting period End 12
Primary contact name JOAO CAMPOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAO CAMPOS
CHAIRMAN OF THE BOARD
208 2ND STREET
FORT COLLINS CO 80524-2513

Officer/Director/Trustee Two

NATALIE MILLER
PRESIDENT
642 S MELDRUM STREET
FORT COLLINS CO 80521-2827

Officer/Director/Trustee Three

MADISON CAMPOS
SECRETARY/TREASURER
208 2ND STREET
FORT COLLINS CO 80524-2513

Officer/Director/Trustee Four

MELISSA MCHALE
BOARD MEMBER
2268 BELLWETHER LANE
FORT COLLINS CO 80521-1535

Organization’s website WWW.PIVOTALPLACES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2019
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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 JOAO CAMPOS
Signature Title CHAIRMAN OF THE BOARD
Signature Date 5/25/2020

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