FORM 1023-EZ for HI FIVES ROBOTICS

Field Data
EIN 47-1785039
Case Number EO-2014262-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HI FIVES ROBOTICS
Organization’s Mailing Address 357 1/2 MARTELLO DRIVE
City GRAND JUNCTION
State CO
ZIP 81507
Accounting period End 12
Primary contact name KIRSTEN KURATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS WILLIAMS
DIRECTOR AND PRESIDENT
357 1/2 MARTELLO DRIVE
GRAND JUNCTION CO 81507

Officer/Director/Trustee Two

ASTRID STOYE
DIRECTOR AND TREASURER
632 CARLSBAD DRIVE
GRAND JUNCTION CO 81507

Officer/Director/Trustee Three

STEVE LANGLEY
DIRECTOR AND VICE PRESIDENT
781 DENVER AVENUE
DEBEQUE CO 81630

Officer/Director/Trustee Four

KIRSTEN KURATH
DIRECTOR AND SECRETARY
612 TELLER AVENUE
GRAND JUNCTION CO 81501

Officer/Director/Trustee Five

ALAN ANDERSON
DIRECTOR
2669 AMBER SPRING WAY
GRAND JUNCTION CO 81506

Organization’s website HTTP://WWW.GJMAKERSPACE.ORG/THEHIFIVES
Organization’s email KMKURATH@WTH-LAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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