FORM 1023-EZ for NEW AGE AFRICAN MEDICAL INITIATIVE

Field Data
EIN 83-4153091
Case Number EO-2019091-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW AGE AFRICAN MEDICAL INITIATIVE
Organization’s Mailing Address 6530 SAULSBURY CT
City ARVADA
State CO
ZIP 80003
Accounting period End 12
Primary contact name NEILS RIBEIRO-YEMOFIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELIX ANTWI
DIRECTOR
6530 SAULSBURY CT
ARVADA CO 80003

Officer/Director/Trustee Two

RICHMOND BOAKYE
DIRECTOR
760 LEHIGH CIR
ERIE CO 80516

Officer/Director/Trustee Three

DOUGLAS BOAKYE
DIRECTOR
356 DRUMMOND DR
HAYWARD CO 94542

Officer/Director/Trustee Four

LEONARD OPPONG-BRENYAH
DIRECTOR
898 S OSBORN LANE
GILBERT AZ 85296

Officer/Director/Trustee Five

GILBERT AGYEMANG-BOAKYE
DIRECTOR
25590 PROSPECT AVE 42F
LOMA LINDA CA 92354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 RICHMOND BOAKYE
Signature Title DIRECTOR
Signature Date 3/27/19

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