FORM 1023-EZ for HEY HEROIN

Field Data
EIN 87-0905097
Case Number EO-2021264-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEY HEROIN
Organization’s Mailing Address 239 N SHERWOOD ST
City FORT COLLINS
State CO
ZIP 80521
Accounting period End 12
Primary contact name AMANDA M MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA MARSHALL
EXECUTIVE DIRECTOR
239 N SHERWOOD ST
FORT COLLINS CO 80521

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 AMANDA MARSHALL
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/12/2021

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