FORM 1023-EZ for OUR HOMETOWN CHARITABLE FOUNDATION

Field Data
EIN 47-3341292
Case Number EO-2015125-000046
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR HOMETOWN CHARITABLE FOUNDATION
Organization’s Mailing Address PO BOX 442
City BURLINGTON
State CO
ZIP 80807
Accounting period End 3
Primary contact name DANYEL BRENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE HINKHOUSE
PRESIDENT
48495 COUNTY ROAD X
BURLINGTON CO 80807

Officer/Director/Trustee Two

TARA PENNY
VICE PRESIDENT
50604 COUNTY ROAD S
BURLINGTON CO 80807

Officer/Director/Trustee Three

DANYEL BRENNER
TREASURER
31455 COUNTY ROAD RR
BURLINGTON CO 80807

Officer/Director/Trustee Four

CINDY HALDE
SECRETARY
46495 US HIGHWAY 385
BURLINGTON CO 80807

Organization’s website HTTP://MIDWAYTHEATER.WEEBLY.COM
Organization’s email OURHOMETOWNFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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