FORM 1023-EZ for ROCKY MOUNTAIN LIFEPOINTE

Field Data
EIN 47-5308750
Case Number EO-2016277-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKY MOUNTAIN LIFEPOINTE
Organization’s Mailing Address 514 PERRY STREET STE C101
City CASTLE ROCK
State CO
ZIP 80104
Accounting period End 12
Primary contact name ROBERT PAINTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PAINTER
PRESIDENT
724 PINEWICKET WAY
PARKER CO 80138

Officer/Director/Trustee Two

DARREN CESMAT
VICE PRESIDENT
11029 MEADOWVALE CIRCLE
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Three

AIMEE PAINTER
SECRETARY
724 PINEWICKET WAY
PARKER CO 80138

Officer/Director/Trustee Four

MICHAEL DIZMANG
TREASURER
4347 TIMBER HOLLOW LOOP
CASTLE ROCK CO 80109

Officer/Director/Trustee Five

JANET CESMAT
BOARD MEMBER
11029 MEADOWVALE CIRCLE
HIGHLANDS RANCH CO 80130

Organization’s website WWW.ROCKYMOUNTAINLIFEPOINTE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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