FORM 1023-EZ for ELBERT COUNTY SHERIFFS POSSE INC

Field Data
EIN 84-1599263
Case Number EO-2015247-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELBERT COUNTY SHERIFFS POSSE INC
Organization’s Mailing Address PO BOX 2022
City ELIZABETH
State CO
ZIP 80107
Accounting period End 12
Primary contact name KEN BETTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID PEONTEK
PRESIDENT
39438 JO CIRCLE
ELIZABETH CO 80107

Officer/Director/Trustee Two

CAROL PEONTEK
VICE PRESIDENT
39438 JO CIRCLE
ELIZABETH CO 80107

Officer/Director/Trustee Three

BRENT DANIELSON
VICE PRESIDENT
41390 N PINEFIELD CR
PARKER CO 80138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/1983
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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