FORM 1023-EZ for MONTROSE LIGHTHOUSE INC

Field Data
EIN 81-4769576
Case Number EO-2019074-000693
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTROSE LIGHTHOUSE INC
Organization’s Mailing Address 17687 6300 ROAD
City MONTROSE
State CO
ZIP 81403
Accounting period End 12
Primary contact name CURTIS ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURTIS ROBINSON
TREASURER
2479 SUNNYSIDE
MONTROSE CO 81401

Officer/Director/Trustee Two

CHRIS HAUCK
SECRETARY
17687 6300 RD
MONTROSE CO 81403

Officer/Director/Trustee Three

GAREY MARTINEZ
PRESIDENT
COLUMBINE LANE
MONTROSE CO 81401

Officer/Director/Trustee Four

JIM REFROW
VICE PRESIDENT
COLUMBINE LANE
MONTROSE CO 81401

Officer/Director/Trustee Five

JOHN HAROLD
DIRECTOR
59571 DAVID RD
OLATHE CO 81425

Organization’s website NONE
Organization’s email CROBINSON@MONTROSE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 CURTIS ROBINSON
Signature Title TREASURER
Signature Date 3/13/19

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