FORM 1023-EZ for ERIE COMMUNITY CIVIC FUND

Field Data
EIN 20-3681328
Case Number EO-2015142-000522
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ERIE COMMUNITY CIVIC FUND
Organization’s Mailing Address PO BOX 750
City ERIE
State CO
ZIP 80516
Accounting period End 12
Primary contact name NANCY PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA HARRIS
DIRECTOR
PO BOX 750
ERIE CO 80516

Officer/Director/Trustee Two

DAN WOOG
DIRECTOR
PO BOX 750
ERIE CO 80516

Officer/Director/Trustee Three

WAYLON SCHUTT
DIRECTOR
PO BOX 750
ERIE CO 80516

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2005
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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