FORM 1023-EZ for MISSION 63

Field Data
EIN 82-2125772
Case Number EO-2017195-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION 63
Organization’s Mailing Address 7535 EAST HAMPDEN AVENUE SUITE 400
City DENVER
State CO
ZIP 80231
Accounting period End 1
Primary contact name CARSON HALLAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN HOUTZ
FOUNDER/CEO
10940 S PARKER RD SUITE 868
PARKER CO 80134

Officer/Director/Trustee Two

CARSON HALLAM
SECRETARY
37289 COUNTY ROAD 17
ELIZABETH CO 80107

Officer/Director/Trustee Three

TUCKER HALLAM
TREASURE
760 SOUTH HIGHWAY 83
FRANKTOWN CO 80116-8601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - 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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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