FORM 1023-EZ for PROJECT HOME

Field Data
EIN 35-2552851
Case Number EO-2016082-000652
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT HOME
Organization’s Mailing Address PO BOX 203
City HENDERSON
State CO
ZIP 80640
Accounting period End 1
Primary contact name DON DELLOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DREW SCHOFIELD
CHAIR
10822 DAYTON WAY
HENDERSON CO 80640

Officer/Director/Trustee Two

CHELSEA SCHOFIELD
CO-CHAIR
10822 DAYTON WAY
HENDERSON CO 80640

Officer/Director/Trustee Three

DON DELLOS
TREASURER
13480 BIRCH WAY
THORNTON CO 80241

Officer/Director/Trustee Four

JEANNIE AMMON
MEMBER
13451 BIRCH WAY
THORNTON CO 80241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L19 - Nonmonetary Support N.E.C.
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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