FORM 1023-EZ for BELIEF HOME

Field Data
EIN 85-3082395
Case Number EO-2021037-000002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELIEF HOME
Organization’s Mailing Address 10692 N POLAR LANE
City LITTLETON
State CO
ZIP 80125
Accounting period End 12
Primary contact name AMANDA CASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA CASE
PRESIDENT
6859 COUNTRYWOODS CIR 17G
MIDVALE UT 84047

Officer/Director/Trustee Two

DANA BERG
VICE PRESIDET
9041 BOSTON SPRINGS AVE
LAS VEGAS NV 89149

Officer/Director/Trustee Three

ASHLEY WARREN
TREASURER
10692 N POLAR LANE
LITTLETON CO 80125

Officer/Director/Trustee Four

ANNETTE BILSTEIN
SECRETARY
699 EAGLESTONE DR
CASTLE ROCK CO 80104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Financial transactions with officers Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA CASE
Signature Title PRESIDENT
Signature Date 12/17/2020

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