FORM 1023-EZ for PBS WEST EDUCATIONAL FOUNDATION

Field Data
EIN 95-4748065
Case Number EO-2018186-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PBS WEST EDUCATIONAL FOUNDATION
Organization’s Mailing Address 4929 ORINDA AVE
City LOS ANGELES
State CA
ZIP 90043
Accounting period End 12
Primary contact name SIDNEY JACKSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIDNEY JACKSON JR
CFO
4929 ORINDA AVE
LOS ANGELES CA 90043

Officer/Director/Trustee Two

ERNEST MILLER
CEO
19510 CANEY AVE
LOS ANGELES CA 90746

Officer/Director/Trustee Three

JOHN IZARD
SECRETARY
5637 ARUBA COURT
ETIWANDA CA 91739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/10
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
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 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 Yes
Correctness Declaration Yes
Signature Name SIDNEY JACKSON JR
Signature Title CFO
Signature Date 7/2/18

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