FORM 1023-EZ for BACA FOUNDATION

Field Data
EIN 47-4968195
Case Number EO-2018239-000733
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACA FOUNDATION
Organization’s Mailing Address 15628 E 108TH AVENUE
City COMMERCE CITY
State CO
ZIP 80022
Accounting period End 12
Primary contact name HOLLY MURRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY MURRY
DIRECTOR
15628 E 108TH AVENUE
COMMERCE CITY CO 80022

Officer/Director/Trustee Two

TY JOHNSON
DIRECTOR
15628 E 108TH AVENUE
COMMERCE CITY CO 80022

Officer/Director/Trustee Three

CHRISSY CARROLL
DIRECTOR
15628 E 108TH AVENUE
COMMERCE CITY CO 80022

Officer/Director/Trustee Four

JO ANN GAU
DIRECTOR
15628 E 108TH AVENUE
COMMERCE CITY CO 80022

Officer/Director/Trustee Five

ELIZABETH HANSEN
DIRECTOR
15628 E 108TH AVENUE
COMMERCE CITY CO 80022

Organization’s website WWW.BACAFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/15
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Correctness Declaration Yes
Signature Name HOLLY MURRY
Signature Title DIRECTOR
Signature Date 8/24/18
EIN 47-4968195
Case Number EO-2016167-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACA FOUNDATION
Organization’s Mailing Address 15628 EAST 108TH AVENUE
City COMMERCE CITY
State CO
ZIP 80022
Accounting period End 12
Primary contact name HOLLY MURRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLY MURRY
TREASURER
15628 EAST 108TH AVENUE
COMMERCE CITY CO 80022

Officer/Director/Trustee Two

TY JOHNSON
PRESIDENT
3702 SOUTH KIRK WAY
AURORA CO 80013

Officer/Director/Trustee Three

CHRISSY CARROLL
SECRETARY
8695 BLUEBUNCH COURT
PARKER CO 80134

Officer/Director/Trustee Four

JO ANN GAU
VICE PRESIDENT
9693 HUGGINS COURT
PARKER CO 80134

Officer/Director/Trustee Five

ELIZABETH HA
VICE PRESIDENT
5667 SOUTH URBAN STREET UNIT 203
LITTLETON CO 80127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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