FORM 1023-EZ for CANOPY

Field Data
EIN 83-4653013
Case Number EO-2019190-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANOPY
Organization’s Mailing Address 123 CHURCH ST
City ASHLAND
State OR
ZIP 97520
Accounting period End 12
Primary contact name RON KHOSLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD KHOSLA
DIRECTOR
123 CHURCH ST
ASHLAND OR 97520-2648

Officer/Director/Trustee Two

KATHRYN KHOSLA
DIRECTOR
123 CHURCH ST
ASHLAND OR 97520-2648

Officer/Director/Trustee Three

KIM WELTY-ALLEN
DIRECTOR
123 CHURCH STREET
ASHLAND OR 97520-2648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U99 - Science and Technology Research Institutes, Services N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 RONALD KHOSLA
Signature Title DIRECTOR
Signature Date 7/4/19

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