FORM 1023-EZ for ARBOR INSTITUTE

Field Data
EIN 84-1911693
Case Number EO-2020031-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARBOR INSTITUTE
Organization’s Mailing Address 1708 13TH STREET
City BOULDER
State CO
ZIP 80302-6226
Accounting period End 12
Primary contact name SAMANTHA RANDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

J DAVID LEVITT
CHAIR, SECRETARY BOARD OF DIRECTORS
700 FLAGSTAFF ROAD
BOULDER CO 80302-9508

Officer/Director/Trustee Two

JANE SALTZMAN
TREASURER, BOARD OF DIRECTORS
1720 LINDEN AVENUE
BOULDER CO 80304-1538

Officer/Director/Trustee Three

GARRET MODDEL
MEMBER, BOARD OF DIRECTORS
2890 JUILLIARD STREET
BOULDER CO 80305-7079

Organization’s website HTTPS://ARBORINSTITUTE.ORG
Organization’s email INFO@ARBORINSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2019
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 J DAVID LEVITT
Signature Title CHAIR, SECRETARY BOARD OF DIRECTORS
Signature Date 1/29/2020

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