FORM 1023-EZ for JEFFERSON COMMUNITY CIVIC ASSOCIATION

Field Data
EIN 84-1258558
Case Number EO-2014260-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON COMMUNITY CIVIC ASSOCIATION
Organization’s Mailing Address 98 MAIN ST
City JEFFERSON
State CO
ZIP 80456-0166
Accounting period End 12
Primary contact name JAMES E SOHMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELEN BAKER
PRESIDENT
203 MICHIGAN HILL RD
JEFFERSON CO 80456-0176

Officer/Director/Trustee Two

JAMES SOHMER
VICE PRESIDENT
70 LITMER RD
JEFFERSON CO 80456-0129

Officer/Director/Trustee Three

SUSAN THOMPSON
SECRETARY
206 CHIPPEWA LN
JEFFERSON CO 80456-0146

Officer/Director/Trustee Four

PAMELA NORTH
TREASURER
3000 MICHIGAN CREEK RD
JEFFERSON CO 80456

Officer/Director/Trustee Five

JUDY SCHWALIER
BD MEMBER AT LARGE
632 HOURGLASS CT
JEFFERSON CO 80456

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/1993
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Disaster relief assistance Yes
One Third Support Public Yes
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
Signature Title
Signature Date

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