FORM 1023-EZ for THE CELIA WILSON FUND FOR DIVERSITYIN THE FIELD OF GYROTONIC

Field Data
EIN 86-2687207
Case Number EO-2021103-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CELIA WILSON FUND FOR DIVERSITYIN THE FIELD OF GYROTONIC
Organization’s Mailing Address 26 7TH STREET 4TH FLOOR
City SAN FRANCISCO
State CA
ZIP 94103
Accounting period End 12
Primary contact name DEBRA ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA ROSE SALTZBERG
OFFICER
1167 SANCHEZ ST
SAN FRANCISCO CA 94114

Officer/Director/Trustee Two

JOHN HORNBAKER
SECRETARY & TREASURER
448 2ND ST E
SONOMA CA 95476

Officer/Director/Trustee Three

KAYLA WAITERS
TRUSTEE
5838 PASSAGE CREEK DRIVE
DUBLIN OH 43016

Officer/Director/Trustee Four

CAROLINE ROCHER
TRUSTEE
12115 CHIPSHOT LANE
UPPER MARLBORO MD 20772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund 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 Yes
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 DEBRA ROSE SALTZBERG
Signature Title OFFICER
Signature Date 4/7/2021

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