FORM 1023-EZ for COLORADO PUBLIC SAFETY CHAPLAINS

Field Data
EIN 45-3692012
Case Number EO-2014256-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLORADO PUBLIC SAFETY CHAPLAINS
Organization’s Mailing Address 1491 NORTHCREST DR
City HIGHLANDS RANCH
State CO
ZIP 80126-2513
Accounting period End 12
Primary contact name ROBERT E PAIGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT PAIGE
CHAIRMAN
1491 NORTHCREST DR
HIGHLANDS RANCH CO 80126-2513

Officer/Director/Trustee Two

EDWARD MAXWELL
SECRETARY
6683 S GRANT ST
CENTENNIAL CO 80121

Officer/Director/Trustee Three

MANUEL HAYS
TREASURER
9354 W CAPRI AVE
LITTLETON CO 80123

Officer/Director/Trustee Four

BILL PAYTON
AT-LARGE
5113 W 3 ST
GREELEY CO 80634

Officer/Director/Trustee Five

JEROME NIXON
AT-LARGE
4502 CONSTITUTION AVE
COLORADO SPRINGS CO 80915

Organization’s website WWW.COLORADOPUBLICSAFETYCHAPLAINS.ORG
Organization’s email COPUBLICSAFETYCHAPLAINS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2011
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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