FORM 1023-EZ for FOUNDATION FOR ADVANCED STEM EDUCATION

Field Data
EIN 82-4018445
Case Number EO-2018157-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR ADVANCED STEM EDUCATION
Organization’s Mailing Address 4065 CODY ST
City WHEAT RIDGE
State CO
ZIP 80033
Accounting period End 5
Primary contact name DOUGLAS V GALLAGHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS V GALLAGHER
PRESIDENT
4065 CODY ST
WHEAT RIDGE CO 80033

Officer/Director/Trustee Two

GRIFF WIRTH
SECRETARY
14390 W 30TH AVE
GOLDEN CO 80401

Officer/Director/Trustee Three

DONNY SEYFER
TREASURER
4225 BALSAM ST
WHEAT RIDGE CO 80033

Officer/Director/Trustee Four

ARIK HEIM
DIRECTOR
11188 W WILDHORSE PEAK
LITTLETON CO 80127

Officer/Director/Trustee Five

JENEE NAPLES MASSEY
DIRECTOR
PO BOX 722
ARVADA CO 80001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U40 - Engineering and Technology Research, Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DOUGLAS V GALLAGHER
Signature Title PRESIDENT
Signature Date 6/4/18

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