FORM 1023-EZ for EMBARCADERO MEDIA FOUNDATION

Field Data
EIN 85-0941500
Case Number EO-2020195-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBARCADERO MEDIA FOUNDATION
Organization’s Mailing Address 450 CAMBRIDGE AVE
City PALO ALTO
State CA
ZIP 94306-1507
Accounting period End 12
Primary contact name WILLIAM JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM JOHNSON
PRESIDENT & DIRECTOR
450 CAMBRIDGE AVE
PALO ALTO CA 94306-1507

Officer/Director/Trustee Two

MICHAEL NAAR
TREASURER & SECRETARY
450 CAMBRIDGE AVE
PALO ALTO CA 94306-1507

Officer/Director/Trustee Three

SIMONE OTUS COXE
DIRECTOR
450 CAMBRIDGE AVE
PALO ALTO CA 94306-1507

Officer/Director/Trustee Four

CAROL MELAMED
DIRECTOR
450 CAMBRIDGE AVE
PALO ALTO CA 94306-1507

Officer/Director/Trustee Five

LANCE CONN
DIRECTOR
450 CAMBRIDGE AVE
PALO ATO CA 94306-1507

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
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 No
Correctness Declaration Yes
Signature Name WILLIAM JOHNSON
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/9/2020

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