FORM 1023-EZ for ARMED FORCES OPTOMETRIC FOUNDATION

Field Data
EIN 84-4884719
Case Number EO-2020059-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARMED FORCES OPTOMETRIC FOUNDATION
Organization’s Mailing Address 11705 AIRPORT WAY SUITE 307
City BROOMFIELD
State CO
ZIP 80021
Accounting period End 12
Primary contact name JOHN WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA ENGELKE
DIRECTOR
8512 N LA OESTA AVE
TUCSON AZ 85723

Officer/Director/Trustee Two

JASON HALES
DIRECTOR
101B HENRY CIRCLE
FORT HUACHUCA AZ 85613

Officer/Director/Trustee Three

ADRIENNE ARI
DIRECTOR
CMR 402 BOX 752
APO AE 09180

Officer/Director/Trustee Four

MICHAEL DAVIS
DIRECTOR
1900 MOUNTAIN VIEW DRIVE
GALLUP NM 87301

Officer/Director/Trustee Five

JOHN WRIGHT
LEGAL OFFICER
11705 AIRPORT WAY SUITE 307
BROOMFIELD CO 80021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2018
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 JOHN WRIGHT
Signature Title LEGAL OFFICER
Signature Date 2/26/2020

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