FORM 1023-EZ for BUNAS VILLAGE THE DEVAUGHN LEVY HAGAN MEMORIAL FUND

Field Data
EIN 82-5282194
Case Number EO-2018155-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUNAS VILLAGE THE DEVAUGHN LEVY HAGAN MEMORIAL FUND
Organization’s Mailing Address 8000 EAST 12TH AVENUE APT 3-A2
City DENVER
State CO
ZIP 80220
Accounting period End 12
Primary contact name NYASHA LEVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NYASHA LEVY
EXECUTIVE DIRECTOR
8000 E 12TH AVE
DENVER CO 80220

Officer/Director/Trustee Two

DARIAN HAGAN
PRESIDENT
3572 HARVARD PL
BROOMFIELD CO 80023

Officer/Director/Trustee Three

DERRICK LEVY
VICE PRESIDENT
301 MALLEY DR APT 206
THORNTON CO 80233

Officer/Director/Trustee Four

DOUG VINCENT
DIR COM RELATIONS PROGRAM DEV
875 FRANCES STREET
LONGMONT CO 80501

Organization’s website N/A
Organization’s email BUNASVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NYASHA LEVY
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/31/18

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