FORM 1023-EZ for COGNITIVE EXCHANGE

Field Data
EIN 47-1833131
Case Number EO-2015076-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COGNITIVE EXCHANGE
Organization’s Mailing Address 1210 GALSTON DRIVE
City FOLSOM
State CA
ZIP 95630-6137
Accounting period End 12
Primary contact name JYOTI DAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JYOTI DAS
CHAIRMAN OF THE BOARD
1210 GALSTON DRIVE
FOLSOM CA 95630-6137

Officer/Director/Trustee Two

VAIBHAV NADGAUDA
DIRECTOR (OPERATIONS):
1655 MANASCO CIRCLE
FOLSOM CA 95630-6137

Officer/Director/Trustee Three

SUNIL MUJOO
DIRECTOR (TREASURY FINANCE)
1229 GALSTON DRIVE
FOLSOM CA 95630-6137

Organization’s website WWW.COGNITIVEXCHANGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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