FORM 1023-EZ for JOHN ADAMS HIGH SCHOOL

Field Data
EIN 47-4103468
Case Number EO-2016204-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHN ADAMS HIGH SCHOOL
Organization’s Mailing Address 9511 HACKBERRY STREET
City HIGHLANDS RANCH
State CO
ZIP 80126
Accounting period End 6
Primary contact name JASON SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CARSON
VICE PRESIDENT
2652 BANEBERRY CT
HIGHLANDS RANCH CO 80129

Officer/Director/Trustee Two

WILLIAM GUSTASHAW
SECRETARY
5301 SPUR CROSS BLVD
PARKER CO 80134

Officer/Director/Trustee Three

JASON SANDERS
PRESIDENT
1249 SANTA ANITA DR
KAYSVILLE UT 84037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B29 - Charter Schools
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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