FORM 1023-EZ for NEW EYES VILLAGE

Field Data
EIN 84-2588671
Case Number EO-2020157-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW EYES VILLAGE
Organization’s Mailing Address 6501 BRITTANY STREET
City FORT COLLINS
State CO
ZIP 80525
Accounting period End 12
Primary contact name DANA GUBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA GUBER
BOARD MEMBER
232
FORT COLLINS CO 80521

Officer/Director/Trustee Two

DEDRIA JOHNSON
BOARD PRESIDENT
1049 BRIARWOOD RD
FORT COLLINS CO 80521

Officer/Director/Trustee Three

KAYLEIGH MAHONEY
DIRECTOR
924 PONDEROSA DRIVE
FORT COLLINS CO 80521

Officer/Director/Trustee Four

CARIDAD SOUZA
BOARD MEMBER
3155 YULE TRAIL DRIVE
FORT COLLINS CO 80524

Organization’s website WWW.NEWEYESVILLAGE.ORG
Organization’s email INFO@NEWEYESVILLAGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2019
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 DANA GUBER
Signature Title BOARD MEMBER
Signature Date 6/3/2020

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