FORM 1023-EZ for HIGH-COUNTRY AVIATION WORKSHOP FORKIDS

Field Data
EIN 47-2757155
Case Number EO-2015033-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGH-COUNTRY AVIATION WORKSHOP FORKIDS
Organization’s Mailing Address 1048 R ROAD
City MACK
State CO
ZIP 81525
Accounting period End 12
Primary contact name BRYAN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRYAN MILLER
DIRECTOR / PRESIDENT
349 34 ROAD
PALISADE CO 81526

Officer/Director/Trustee Two

KIM NEIBAUER
DIRECTOR / VICE PRESIDENT
509 RADO DR D
GRAND JUNCTION CO 81507

Officer/Director/Trustee Three

JOHN WILSON
DIRECTOR / SECRETARY
1207 SIGNAL ROCK ROAD
GRAND JUNCTION CO 81505

Officer/Director/Trustee Four

JOHN CALDWELL
DIRECTOR / TREASURER
1671 11 8/10 ROAD
LOMA CO 81524

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: No
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 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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