FORM 1023-EZ for THE COLORADO STATE CHAPTER OF THE AMERICAN SOCIETY FOR METABOLIC AND B

Field Data
EIN 47-2810176
Case Number EO-2015082-000396
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COLORADO STATE CHAPTER OF THE AMERICAN SOCIETY FOR METABOLIC AND B
Organization’s Mailing Address 12631 EAST 17TH AVENUE
City AURORA
State CO
ZIP 80045
Accounting period End 9
Primary contact name JONATHAN SCHOEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONATHAN SCHOEN
PRESIDENT
12631 EAST 17TH AVENUE
AURORA CO 80045

Officer/Director/Trustee Two

FARAH HUSSAIN
VICE PRESIDENT
2045 FRANKLIN ST
DENVER CO 80205

Officer/Director/Trustee Three

ROBERT QUAID
SECRETARY
2121 EAST HARMONY ROAD
FORT COLLINS CO 80528

Officer/Director/Trustee Four

MATTHEW METZ
TREASURER
10233 SOUTH PARKER ROAD
PARKER CO 80134

Officer/Director/Trustee Five

ERIC HANLY
MEMBER-AT LARGE
2440 NORTH 11TH STREET
GRAND JUNCTION CO 81501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
Organization’s purpose Charitable: No
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 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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