FORM 1023-EZ for HFES ROCKY MOUNTAIN CHAPTER

Field Data
EIN 27-2504305
Case Number EO-2014274-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HFES ROCKY MOUNTAIN CHAPTER
Organization’s Mailing Address 507 KEN MAR CT
City LONGMONT
State CO
ZIP 80501-4742
Accounting period End 12
Primary contact name MICHAEL RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE REINES
PRESIDENT
5675 DTC BLVD SUITE 100
GREENWOOD VILLAGE CO 80111-3215

Officer/Director/Trustee Two

LAVIE GOLENBERG
VICE PRESIDENT
826 COAL CREEK CIRCLE
LOUISVILLE CO 80027-9750

Officer/Director/Trustee Three

DAVID GILKEY
DIRECTOR
152 EH BLDG
FORT COLLINS CO 80523-1681

Officer/Director/Trustee Four

DAVID LENOROVITZ
DIRECTOR
3671 SOUTH HURON ST SUITE 304
ENGLEWOOD CO 80110-3474

Officer/Director/Trustee Five

MICHAEL RODRIGUEZ
TREASURER
507 KEN MAR CT
LONGMONT CO 80501-4742

Organization’s website WWW.RM-HFES.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/1978
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - 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 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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