FORM 1023-EZ for COLORADO BOYS HIGH SCHOOL VOLLEYBALL ASSOCIATION

Field Data
EIN 20-5625779
Case Number EO-2017003-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLORADO BOYS HIGH SCHOOL VOLLEYBALL ASSOCIATION
Organization’s Mailing Address 4775 WEST MOORHEAD CIRCLE
City BOULDER
State CO
ZIP 80305-6157
Accounting period End 12
Primary contact name SCOTT CULL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE PRUSINOWSKI
PRESIDENT
6466 DANCING MOON WAY
CO SPRINGS CO 80911

Officer/Director/Trustee Two

SCOTT NUGENT
VICE PRESIDENT
23562 BRANSTON
PARKER CO 80138

Officer/Director/Trustee Three

SCOTT CULL
TREASURER
4775 WEST MOORHEAD CIRCLE
BOULDER CO 80305-6157

Officer/Director/Trustee Four

ERICA SANCHEZ
SECRETARY
10988 WEST 70TH AVENUE
ARVADA CO 80004

Officer/Director/Trustee Five

NANCY HOLM
BOARD MEMBER
5380 TURQUOISE DRIVE
CO SPRINGS CO 80918

Organization’s website WWW.CBHSVA.NET/
Organization’s email TRAILRUNNERSC@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2007
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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