EXEMPLA GOOD SAMARITAN MEDICAL CENTER FOUNDATION (Entity# 20043006337) is a non-profit charity organization registered with Colorado Secretary of State. The business start date is April 23, 2004.
| Charity Name | EXEMPLA GOOD SAMARITAN MEDICAL CENTER FOUNDATION |
| Federal Employer Identification Number (FEIN) | 841649162 |
| Registrant Type | Charitable Organization |
| Filing Type | Renewal |
| Principal Address |
200 Exempla Circle Lafayette CO 80026 |
| Mailing Address |
200 Exempla Circle LAFAYETTE CO 80026 |
| Residential County | BOULDER |
| Phone | 3036895252 |
| Fax | 3036895241 |
| Website | exempla.org |
| Authorized Officer Name | Laura Folsom |
| Authorized Officer Signed Date | 2009-11-30 |
| Incorporated | true |
| Incorporation Date | 2004-04-23 |
| Incorporation State | CO |
| Accounting ID | 20093012505 |
| Amendment Entity ID | 20083012201 |
| External Filing From NCCS | false |
| Actual Financials Provided | true |
| Revenue Total | 751043 |
| End Year Assests | 551946 |
| End Year Liabilities | 50893 |
| End Year Assests Minus Liabilities | 501053 |
| Title | Name | Address | Phone | Notes |
|---|---|---|---|---|
| REGISTERED AGENT | INCORP SERVICES, INC |
36 South 18th Ave, Brighton, CO 80601 Mailing address: 36 South 18th Ave, BRIGHTON, CO 80601 |
Not in business | |
| PRESIDENT | Dave Hamm | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896959 | |
| TREASURER | Dave Manley | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| SECRETARY | Beth Forsyth | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896957 | |
| DIRECTOR | Carla Dore | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| TREASURER | John Higgins | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896954 | |
| CUSTODIAN OF FINANCIAL RECORDS | Laura L Folsom | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| VICE PRESIDENT | Sandy Cavanaugh | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896955 | |
| SECRETARY | Elizabeth Ann Albright | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| BOARD CHAIR | Steve Temple | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| DIRECTOR | Gary Adams | 200 Exempla Circle, Lafayette, CO 80026 | 3033895251 | |
| DIRECTOR | Sharad Rajpal | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Tom Alford | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| CHAIR | John Rogers | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| CUSTODIAN OF FINANCIAL RECORDS | Robert D Roby | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| DIRECTOR | John Bosio | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Hugh Brown | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Craig Simmonds | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| EXECUTIVE DIRECTOR | Janet L Hubert | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| DIRECTOR | Sandra Cavanaugh Douglass | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896955 | |
| DIRECTOR | Steve Woods | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| BOARD CHAIR | Charles T Graft | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| REGISTERED AGENT | Sandra Cavanaugh |
200 Exempla Circle, Lafayette, CO 80026 Mailing address: 200 Exempla Circle, LAFAYETTE, CO 80026 |
Not in business | |
| DIRECTOR | Beth Forsyth | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Dave Hamm | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896959 | |
| DIRECTOR | Berry Morton | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Dave Manley | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Sandy Cavanaugh | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896955 | |
| VICE CHAIR | Melissa Whitmer | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Donald Haugan | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| BOARD CHAIR | Hugh Brown | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| DIRECTOR | Jim Vasbinder | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Melissa Whitmer | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | John Beeble | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| EXECUTIVE DIRECTOR | Janet L Bonner | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| BOARD CHAIR | John Rogers | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business |
| CUSTODIAN OF FINANCIAL RECORDS | Kerry Warburton | 600 Grant, Denver, CO 80203 | 3038135000 | Not in business |
| DIRECTOR | Mike Meints | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| EXECUTIVE DIRECTOR | Janet Bonner | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Kevin Larington | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| EXECUTIVE DIRECTOR | Robert Roby | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | Jeffrey Leftwich | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| EXECUTIVE DIRECTOR | John Glassman | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896939 | |
| VICE CHAIR | John Rogers | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| DIRECTOR | David Hamm | 2600 Campus Drive, Suite C, Lafayette, CO 80026 | 3036896959 | |
| SECRETARY | Jeffrey Leftwich | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| CHAIR | John Beeble | 200 Exempla Circle, Lafayette, CO 80026 | 3038135342 | |
| Janet L Bonner | 200 Exempla Circle, Lafayette, CO 80026 | 3036895252 | Not in business | |
| CHAIR | Melissa Whitmer | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Peter Benkowski | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | James Mcdougall | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | John Rogers | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Charmaine Cook | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Marc Paolicelli | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Jennifer Alderfer | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| DIRECTOR | Greg Moss | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | |
| CHAIR | Whitmer Melissa | 200 Exempla Circle, Lafayette, CO 80026 | 3036895251 | Not in business |
| PAST CHAIR 1/1-1/23 | John Rogers | |||
| GOVERNANCE COMMITTEE CHAIR | Gary Adams | |||
| DIRECTOR | Geoff Dawdy | |||
| SECRETARY | Charmaine Cook | |||
| DIRECTOR | Peter Kung | |||
| DIRECTOR | James Macdougall, Md | |||
| DIRECTOR | Robb Wyman | |||
| VICE CHAIR | Tom Alford | |||
| DIRECTOR | Scott Elmore | |||
| DIRECTOR | Scott Busch |
| Street Address | 200 EXEMPLA CIRCLE |
| City | Lafayette |
| State | CO |
| Zip Code | 80026 |
| Entity Name | Office Address | Officer |
|---|---|---|
| INNER OCEAN | 210 E. Simpson St, Lafayette, CO 80026 | Mindi K Counts |
| MY SUPPORT PARTNERS NETWORK | 1213 Centaur Circle, Unit A, Lafayette, CO 80026 | Polly Parsons Cisneros |
| POLLINATION PLANET | 345 Jasper Peak Court, Lafayette, CO 80026 | Gretchen R Heine |
| REZDAWG RESCUE INC. | 1005 Acadia Ave, Lafayette, CO 80026 | Angela Cerci |
| ARTS!LAFAYETTE | 600 E. Simpson Street, Lafayette, CO 80026 | Sara Brown |
| WARRIOR GIRLS LACROSSE BOOSTER CLUB, INC | 10300 S Boulder Rd, Lafayette, CO 80026 | Teri Trudel |
| JOHN PAUL II ADVENTURE INSTITUTE | 348 Driftwood Circle, Lafayette, CO 80026 | Katherine M. Leblanc |
| JOURNEY OUTREACH NORTH AMERICA | 740 Paschal Dr, Lafayette, CO 80026 | Kevin F Lockwood |
| SOZO INTERNATIONAL, INC. | 355 W South Boulder Rd, Lafayette, CO 80026 | Brad Fischer |
| DEVELOPMENTAL DISABILITIES CENTER FOUNDATION | 1400 Dixon Ave, Lafayette, CO 80026 | Susan Lahoda |
| Authorized Officer Name | Laura Folsom |
Please comment or provide details below to improve the information on EXEMPLA GOOD SAMARITAN MEDICAL CENTER FOUNDATION.
| Data Provider | Colorado Secretary of State |
| Jurisdiction | Colorado State |
This dataset includes 114 thousand non-profit charity organizations registered wtih Colorado Secretary of State.