FORM 1023-EZ for FALLEN SPARROW SPIRITUAL CARE CORPORATION

Field Data
EIN 87-2191210
Case Number EO-2021230-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALLEN SPARROW SPIRITUAL CARE CORPORATION
Organization’s Mailing Address 10200 E DRY CREEK RD UNIT 2-102
City ENGLEWOOD
State CO
ZIP 80112
Accounting period End 12
Primary contact name JASON B CATLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON CATLETT
PRESIDENT
10200 E DRY CREEK RD UNIT 2-102
ENGLEWOOD CO 80112

Officer/Director/Trustee Two

ANDREA CATLETT
SECRETARY
10200 E DRY CREEK RD UNIT 2-102
ENGLEWOOD CO 80112

Officer/Director/Trustee Three

SIERRA NEIMAN WESTBROOK
BOARD MEMBER
47 EAGLE CREST DR UNIT 26
LAKE OSWEGO OR 97132

Officer/Director/Trustee Four

RILEY GRUN
BOARD MEMBER
10605 SW ORIOLE CIR
BEAVERTON OR 97007

Officer/Director/Trustee Five

REBECCA JASTRAM
BOARD MEMBER
9138 SW 180TH PL
BEAVERTON OR 97007

Organization’s website FALLENSPARROWSPIRITUALCARE.COM
Organization’s email CHAPLAIN@FALLENSPARROWSPIRITUALCARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 JASON CATLETT
Signature Title PRESIDENT
Signature Date 8/16/2021

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