FORM 1023-EZ for WOLF PACK SUPPORT SERVICES

Field Data
EIN 83-1697646
Case Number EO-2019039-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOLF PACK SUPPORT SERVICES
Organization’s Mailing Address 1364 HOFFMAN DRIVE
City ERIE
State CO
ZIP 80516-6869
Accounting period End 12
Primary contact name BLAKE WOLLENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE WOLLENBERG
PRESIDENT
1364 HOFFMAN DR
ERIE CO 80516-6869

Officer/Director/Trustee Two

COURTNEY STRONG
VICE PRESIDENT
14882 N 115TH ST
LONGMONT CO 80504-8021

Officer/Director/Trustee Three

MARY WOLLENBERG
TREASURER
1364 HOFFMAN DR
LONGMONT CO 80516-6869

Officer/Director/Trustee Four

MICHAEL MRLA
SECRETARY
758 GILPIN CIRCLE
ERIE CO 80516-2578

Officer/Director/Trustee Five

KATHERINE DIBATTISTO
BOARD MEMBER
10467 GARLAND DRIVE
WESTMINISTER CO 80021-7355

Organization’s website HTTPS://WOLFPACKSUPPORTSERVICES.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 BLAKE WOLLENBERG
Signature Title PRESIDENT
Signature Date 2/6/19

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