FORM 1023-EZ for PHILIP THORPE MEMORIAL FOUNDATION

Field Data
EIN 81-1804955
Case Number EO-2016181-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHILIP THORPE MEMORIAL FOUNDATION
Organization’s Mailing Address 136 CARNATION CIRCLE
City VALLEJO
State CA
ZIP 94589
Accounting period End 12
Primary contact name HILLARY KANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PEGGY THORPE
CHIEF EXECUTIVE OFFICER
136 CARNATION CIRCLE
VALLEJO CA 94589

Officer/Director/Trustee Two

HILLARY KANE
SECRETARY
10925 BLUFFSIDE DRIVE SUITE 215
STUDIO CITY CA 91604

Officer/Director/Trustee Three

CAROL PARR
CHIEF FINANCIAL OFFICER
21034 PERMITER ROAD
GRASS VALLEY CA 96949

Organization’s website PHILIPTHORPEFOUNDATION.ORG
Organization’s email PHILIPTHORPEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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