FORM 1023-EZ for ELLIS DELI

Field Data
EIN 81-0702665
Case Number EO-2016102-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELLIS DELI
Organization’s Mailing Address 1533 CARMELA CT
City FORT COLLINS
State CO
ZIP 80526-3027
Accounting period End 12
Primary contact name JEFFREY WITTENAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY WITTENAUER
DIRECTOR
1533 CARMELA CT
FORT COLLINS CO 80526-3027

Officer/Director/Trustee Two

JENNIFER WITTENAUER
OFFICER
1533 CARMELA CT
FORT COLLINS CO 80526-3027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
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 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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