FORM 1023-EZ for INFINITUS DREAM SCHOLARSHIP FUND

Field Data
EIN 81-0895218
Case Number EO-2015362-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INFINITUS DREAM SCHOLARSHIP FUND
Organization’s Mailing Address 1062 E 16TH AV
City BROOMFIELD
State CO
ZIP 80020
Accounting period End 12
Primary contact name DANIEL P KAPSAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY LANZAVECCHIA
PRESIDENT
13165 GROVE WAY
BROOMFIELD CO 80020

Officer/Director/Trustee Two

PETER CROUSE
DIRECTOR
1062 E 16TH AV
BROOMFIELD CO 80020

Officer/Director/Trustee Three

KATIE CROUSE
DIRECTOR
1062 E 16TH AV
BROOMFIELD CO 80020

Officer/Director/Trustee Four

PATRICK OKELLY
DIRECTOR
1851 ASPEN ST
BROOMFIELD CO 80020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 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 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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