FORM 1023-EZ for WR VIKING YOUTH FOOTBALL PROGRAM

Field Data
EIN 87-1366577
Case Number EO-2021187-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WR VIKING YOUTH FOOTBALL PROGRAM
Organization’s Mailing Address PO BOX 661
City WHEAT RIDGE
State CO
ZIP 80034
Accounting period End 12
Primary contact name KAREN WORKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERNEST TRUJILLO
PRESIDENT DIRECTOR
10545 W 62ND AVE
ARVADA CO 80004

Officer/Director/Trustee Two

SALLYNN DURAN
SECRETARY DIRECTOR
8122 E 138TH WAY
THORNTON CO 80602

Officer/Director/Trustee Three

KAREN WORKMAN
TREASURER DIRECTOR
4700 UPHAM ST
WHEAT RIDGE CO 80033

Officer/Director/Trustee Four

ANTHONY GALLEGOS
DIRECTOR
5253 W 48TH AVE
DENVER CO 80212

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 KAREN WORKMAN
Signature Title TREASURER DIRECTOR
Signature Date 7/1/2021

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