FORM 1023-EZ for TRIBAL ADAPTIVE ORGANIZATION
| Field | Data |
|---|---|
| EIN | 81-4076368 |
| Case Number | EO-2019252-000421 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRIBAL ADAPTIVE ORGANIZATION |
| Organization’s Mailing Address | 1718 MARIPOSA DR |
| City | DURANGO |
| State | CO |
| ZIP | 81301 |
| Accounting period End | 1 |
| Primary contact name | JASON HOTCHKISS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NOAH BLUE ELK HOTCHKISS
PRESIDENT
1718 MARIPOSA DR
DURANGO CO 81301
Officer/Director/Trustee Two
KRISTINA JOHN
SECRETARY
31 E ANIMAS VILLAGE LANE
DURANGO CO 81301
Officer/Director/Trustee Three
BETHANY MCMANUS
TREASURER
1916 HIGHLAND AVE
DURANGO CO 81301
| Organization’s website | WWW.TRIBALADAPTIVE.ORG |
|---|---|
| Organization’s email | TRIBALADAPTIVE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/5/16 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | 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 | NOAH BLUE ELK HOTCHKISS |
| Signature Title | PRESIDENT |
| Signature Date | 9/6/19 |
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