FORM 1023-EZ for JOHN DEWEY INSTITUTE

Field Data
EIN 83-1868414
Case Number EO-2019030-000907
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHN DEWEY INSTITUTE
Organization’s Mailing Address 11479 SOUTH PINE DRIVE
City PARKER
State CO
ZIP 80134
Accounting period End 12
Primary contact name DR JOHN EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN EVANS
DR.
11479 SOUTH PINE DR
PARKER CO 80134

Officer/Director/Trustee Two

MARK BAISLEY
MR.
10398 TOTEM RUN
LITTLETON CO 80125

Officer/Director/Trustee Three

JUDY BRANNBERG
MS.
8201 SOUTH SANTA FE DR
LITTLETON CO 80120

Officer/Director/Trustee Four

GEORGE TEAL
MR.
931 EAGLESTONE DR
CASTLE ROCK CO 80104

Officer/Director/Trustee Five

MEREDITH DEVENCENTY
MS.
7200 SOUTH ALTON WAY SUITE A280
CENTENNIAL CO 80112

Organization’s website WWW.JOHNDEWEYINSTITUTE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 JOHN EVANS
Signature Title DR.
Signature Date 12/28/18

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