FORM 1023-EZ for CENTRAL ROCKY MOUNTAIN CHAPTER OF THE HEALTH PHYSICS SOCIETY
| Field | Data |
|---|---|
| EIN | 27-1555406 |
| Case Number | EO-2021093-000648 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTRAL ROCKY MOUNTAIN CHAPTER OF THE HEALTH PHYSICS SOCIETY |
| Organization’s Mailing Address | 710 TERRA VIEW CIRCLE |
| City | FORT COLLINS |
| State | CO |
| ZIP | 80525-9318 |
| Accounting period End | 12 |
| Primary contact name | FREDERICK BORST |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
FREDERICK BORST
SECRETARY
710 TERRA VIEW CIRCLE
FORT COLLINS CO 80525-9318
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/29/2009 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Y03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | FREDERICK BORST |
| Signature Title | SECRETARY |
| Signature Date | 3/2/2021 |
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