FORM 1023-EZ for FOUNDATION FOR CONSCIOUS ACTIVISM

Field Data
EIN 81-3189539
Case Number EO-2016221-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION FOR CONSCIOUS ACTIVISM
Organization’s Mailing Address 1729 E 15TH STREET APT 7
City OAKLAND
State CA
ZIP 94606
Accounting period End 6
Primary contact name ROBIN GURUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN GURUNG
PRESIDENT
1729 E 15TH STREET APT 7
OAKLAND CA 94606

Officer/Director/Trustee Two

DHAN DARJEE
VICE PRESIDENT
1729 E 15TH STREET APT 7
OAKLAND CA 94606

Officer/Director/Trustee Three

ANJU SUBBA
TREASURER
1729 E 15TH STREET APT 7
OAKLAND CA 94606

Officer/Director/Trustee Four

JYOTI GURUNG
SECRETARY
1729 E 15TH STREET APT 7
OAKLAND CA 94606

Officer/Director/Trustee Five

PRADIP BHANDARI
DIRECTOR
1729 E 15TH STREET APT 7
OAKLAND CA 94606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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