FORM 1023-EZ for KIAROSTAMI FOUNDATION

Field Data
EIN 82-2254771
Case Number EO-2017208-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIAROSTAMI FOUNDATION
Organization’s Mailing Address 14 WOOD STREET
City SAN FRANCISCO
State CA
ZIP 94118
Accounting period End 12
Primary contact name LIZBETH HASSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AHMAD KIAROSTAMI
PRESIDENT AND DIRECTOR
14 WOOD STREET
SAN FRANCISCO CA 94118

Officer/Director/Trustee Two

NEGIN FAZELI
TREASURER AND SECRETARY
453 NORTH KENTER AVENUE
LOS ANGELES CA 90049

Officer/Director/Trustee Three

LIZBETH HASSE
DIRECTOR
155 SANSOME STREET SUITE 500
SAN FRANCISCO CA 94104

Officer/Director/Trustee Four

THOMAS LUDDY
DIRECTOR
2600 10TH STREET
BERKELEY CA 94710

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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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