FORM 1023-EZ for POISONED PEN FOUNDATION

Field Data
EIN 82-3634874
Case Number EO-2018180-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POISONED PEN FOUNDATION
Organization’s Mailing Address 4014 N GOLDWATER BLVD SUITE 101
City SCOTTSDALE
State AZ
ZIP 85251
Accounting period End 12
Primary contact name BARBARA PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA PETERS
DIRECTOR, PRESIDENT
4014 N GOLDWATER BLVD SUITE 101
SCOTTSDALE AZ 85251

Officer/Director/Trustee Two

ROBERT ROSENWALD
DIRECTOR, EVP, TREASURER
4014 N GOLDWATER BLVD SUITE 101
SCOTTSDALE AZ 85251

Officer/Director/Trustee Three

LESLIE KLINGER
SECRETARY
10866 WILSHIRE BLVD SUITE 1500
LOS ANGELES CA 90024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/17
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 LESLIE KLINGER
Signature Title SECRETARY
Signature Date 6/27/18

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