FORM 1023-EZ for GREY FEATHER THERAPY CENTER

Field Data
EIN 82-1314083
Case Number EO-2017254-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREY FEATHER THERAPY CENTER
Organization’s Mailing Address 212 CONSTRUCTION AVE
City JULESBURG
State CO
ZIP 80737
Accounting period End 12
Primary contact name CAT RYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE KERN
PRESIDENT
4412 E MULBERRY ST APT 386
FORT COLLINS CO 80524

Officer/Director/Trustee Two

ALEX BEARD
VICE PRESIDENT
11225 CR 29
OVID CO 80744

Officer/Director/Trustee Three

RICHARD LAPP
TREASURER
200 CONSTRUCTION AVE
JULESBURG CO 80737

Officer/Director/Trustee Four

BEVERLY FATES-MCMAHON
SECRETARY
103 E 10TH ST
OGALLALA NE 69153

Officer/Director/Trustee Five

CATHY RYDEN
DIRECTOR
102 E 7TH ST
JULESBURG CO 80737

Organization’s website WWW.GREYFEATHERTC.ORG
Organization’s email GREYFEATHERTC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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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