FORM 1023-EZ for FIRE ADAPTED BAILEY

Field Data
EIN 82-5016282
Case Number EO-2018333-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRE ADAPTED BAILEY
Organization’s Mailing Address 306 SPRING DR
City PINE
State CO
ZIP 80470-7965
Accounting period End 12
Primary contact name KATHLEEN LOWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN VAN DOREN
PRESIDENT
193 TWILIGHT TERRACE DR
BAILEY CO 80421-2223

Officer/Director/Trustee Two

REX ALFORD
VICE PRESIDENT
118 CHUCKLING CREEK RD
BAILEY CO 80421-2241

Officer/Director/Trustee Three

KATHLEEN LOWER
SECRETARY/TREASURER
306 SPRING DR
PINE CO 80470-7965

Officer/Director/Trustee Four

ROBIN DAVIS
DIRECTOR
162 OX YOKE LN
BAILEY CO 80421-1022

Officer/Director/Trustee Five

JACK ROBERTS
DIRECTOR
85 SUNNY RIDGE LN
BAILEY CO 80421-2155

Organization’s website
Organization’s email INFO@FIREADAPTEDBAILEY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 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 KATHLEEN LOWER
Signature Title SECRETARY/TREASURER
Signature Date 11/27/18

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