FORM 1023-EZ for NYAGI PROJECT

Field Data
EIN 47-1063605
Case Number EO-2017244-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NYAGI PROJECT
Organization’s Mailing Address 5387 MANHATTAN CIRCLE SUITE 200
City BOULDER
State CO
ZIP 80303-9142
Accounting period End 12
Primary contact name CLIFF GRONSETH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFF GRONSETH
CHAIRMAN OF THE BOARD
5387 MANHATTAN CIRCLE SUITE 200
BOULDER CO 80303-9142

Officer/Director/Trustee Two

DAVID VERGOZ
DIRECTOR
5387 MANHATTAN CIRCLE SUITE 200
BOULDER CO 80303-9142

Officer/Director/Trustee Three

RONALD GUTHRIE
DIRECTOR
5387 MANHATTAN CIRCLE SUITE 200
BOULDER CO 80303-9142

Organization’s website WWW.NYAGI.ORG
Organization’s email INFO@NYAGI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-1063605
Case Number EO-2016013-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NYAGI PROJECT
Organization’s Mailing Address 5387 MANHATTAN CIRCLE - SUITE 200
City BOULDER
State CO
ZIP 80303
Accounting period End 12
Primary contact name CLIFF GRONSETH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLIFF GRONSETH
CHAIRMAN OF THE BOARD
5387 MANHATTAN CIRCLE - SUITE 200
BOULDER CO 80303

Officer/Director/Trustee Two

DAVID VERGOZ
DIRECTOR
5387 MANHATTAN CIRCLE - SUITE 200
BOULDER CO 80303

Officer/Director/Trustee Three

RONALD GUTHRIE
DIRECTOR
5387 MANHATTAN CIRCLE - SUITE 200
BOULDER CO 80303

Organization’s website WWW.NYAGI.ORG
Organization’s email INFO@NYAGI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 No
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
Signature Title
Signature Date

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