FORM 1023-EZ for CSNK2A1 FOUNDATION

Field Data
EIN 82-4220939
Case Number EO-2018047-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSNK2A1 FOUNDATION
Organization’s Mailing Address 1929 VAN NESS AVENUE
City SAN FRANCISCO
State CA
ZIP 94109-3007
Accounting period End 12
Primary contact name JENNIFER SILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SILLS
PRESIDENT, DIRECTOR
1929 VAN NESS AVENUE
SAN FRANCISCO CA 94109-3007

Officer/Director/Trustee Two

JASON SILLS
TREASURER
1929 VAN NESS AVENUE
SAN FRANCISCO CA 94109-3007

Officer/Director/Trustee Three

JOAN DAVIS
SECRETARY
1929 VAN NESS AVENUE
SAN FRANCISCO CA 94109-3007

Officer/Director/Trustee Four

KATHRYN OCONNOR
DIRECTOR
1929 VAN NESS AVENUE
SAN FRANCISCO CA 94109-3007

Officer/Director/Trustee Five

FRANCESCA DEMARTINO
DIRECTOR
1929 VAN NESS AVENUE
SAN FRANCISCO CA 94109-3007

Organization’s website N/A
Organization’s email JLGBEAR17@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
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 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 JENNIFER SILLS
Signature Title PRESIDENT, DIRECTOR
Signature Date 2/14/18

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