FORM 1023-EZ for ASILI RESEARCH ALLIANCE

Field Data
EIN 82-5248095
Case Number EO-2018117-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASILI RESEARCH ALLIANCE
Organization’s Mailing Address 107 DARTMOUTH AVE
City SAN CARLOS
State CA
ZIP 94070
Accounting period End 12
Primary contact name JENNIFER WOLTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER WOLTZ
EXECUTIVE DIRECTOR
107 DARTMOUTH AVE
SAN CARLOS CA 94070

Officer/Director/Trustee Two

DAVID SCHEINMAN
CHIEF FINANCIAL OFFICER
107 DARTMOUTH AVE
SAN CARLOS CA 94070

Officer/Director/Trustee Three

JUSTIN OMOLO
DIRECTOR OF RESEARCH
107 DARTMOUTH AVE
SAN CARLOS CA 94070

Organization’s website
Organization’s email INFO@ASILIRESEARCHALLIANCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER WOLTZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/25/18

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