FORM 1023-EZ for PARK COUNTY CARES

Field Data
EIN 83-1479042
Case Number EO-2018247-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARK COUNTY CARES
Organization’s Mailing Address 1763 WOODSIDE DRIVE
City PINE
State CO
ZIP 80470
Accounting period End 12
Primary contact name DEBRA ELSNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ELSNER
AGENT, DIRECTOR
4358 E FREMONT PL
CENTENNIAL CO 80122

Officer/Director/Trustee Two

DEBRA ELSNER
CHAIRMAN
1763 WOODSIDE DRIVE
PINE CO 80470

Officer/Director/Trustee Three

SHEILA GUNTER
DIRECTOR
75 PINTO LANE
BAILEY CO 80421

Officer/Director/Trustee Four

MICHELLE MILLER
DIRECTOR
779 CRAWFORD LANE
FAIRPLAY CO 80421

Officer/Director/Trustee Five

MONICA DOUGLAS
DIRECTOR
389 ASPEN WAY
FAIRPLAY CO 80421

Organization’s website PARKCOUNTYCARES.ORG
Organization’s email PARKCOUNTYCARES@ESCHEWOBFUSCATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 No
Correctness Declaration Yes
Signature Name DEBRA ELSNER
Signature Title CHAIRMAN
Signature Date 9/2/18

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