FORM 1023-EZ for CBS FOUNDATION

Field Data
EIN 83-3004522
Case Number EO-2019071-000575
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CBS FOUNDATION
Organization’s Mailing Address 426 N 500 E APT 2
City LOGAN
State UT
ZIP 84321
Accounting period End 12
Primary contact name JOSE CARVAJAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE CARVAJAL JR
PRESIDENT
426 N 500 E APT 2
LOGAN UT 84321

Officer/Director/Trustee Two

JOSE CARVAJAL SR
CHAIRPERSON OF THE GOVERNING BODY
426 N 500 E APT 2
LOGAN UT 84321

Officer/Director/Trustee Three

JUAN CARVAJAL
TREASURER
426 N 500 E APT 2
LOGAN UT 84321

Organization’s website
Organization’s email FUNDACIONCBS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, 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 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 JOSE CARVAJAL JR
Signature Title PRESIDENT
Signature Date 3/7/19

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