FORM 1023-EZ for BETA CELL FOUNDATION

Field Data
EIN 84-4054715
Case Number EO-2020027-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETA CELL FOUNDATION
Organization’s Mailing Address PO BOX 742005
City LOS ANGELES
State CA
ZIP 90004-9998
Accounting period End 12
Primary contact name CRAIG STUBING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG STUBING
CEO
4254 W 5TH STREET APT 7
LOS ANGELES CA 90020-4137

Officer/Director/Trustee Two

JAMES GAHN
CFO
619 SPRING STREET APT 4514
INDIANAPOLIS IN 46202-3798

Officer/Director/Trustee Three

LAURA WAINSCOTT
CHAIRPERSON
2122 N 69TH ST
WAUWATOSA WI 53213-1924

Organization’s website BETACELLFOUNDATION.ORG
Organization’s email INFO@BETACELLFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: No
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 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 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 CRAIG STUBING
Signature Title CEO
Signature Date 1/23/2020

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