FORM 1023-EZ for ANCESTRAL MAGUEY ORGANIZATION

Field Data
EIN 82-4693411
Case Number EO-2018128-000890
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANCESTRAL MAGUEY ORGANIZATION
Organization’s Mailing Address 2223 SOUTH GILPIN ST
City DENVER
State CO
ZIP 80210-4616
Accounting period End 12
Primary contact name KAYLENA BRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLENA BRAY
DIRECTOR
13255 VERSAILLES PLANK RD
VERSAILLES NY 14168-126

Officer/Director/Trustee Two

DELANA LENSGRAF
DIRECTOR
308 HIGHLAND STREET
HOUSTON TX 77009-6623

Officer/Director/Trustee Three

JACQUELYN JAMPOLSKY
DIRECTOR
240 FORBES AVE
SAN RAFAEL CA 94901-1745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
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 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 KAYLENA BRAY
Signature Title DIRECTOR
Signature Date 5/3/18

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