FORM 1023-EZ for CHAMBON FOUNDATION

Field Data
EIN 95-3803907
Case Number EO-2018067-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMBON FOUNDATION
Organization’s Mailing Address 8033 SUNSET BOULEVARD
City LOS ANGELES
State CA
ZIP 90046-2471
Accounting period End 6
Primary contact name PIERRE SAUVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIERRE SAUVAGE
PRESIDENT
8033 SUNSET BOULEVARD
LOS ANGELES CA 90046-2471

Officer/Director/Trustee Two

BARBARA RUBIN
SECRETARY/TREASURER
GLASERWEIL 10250 CONSTELLATION BLVD
LOS ANGELES CA 90067-6209

Officer/Director/Trustee Three

DR MICHAEL MARRUS
MEMBER
CHAMBON FOUNDATION 8033 SUNSET BLVD
LOS ANGELES CA 90046-2471

Officer/Director/Trustee Four

DR JOHN ROTH
MEMBER
19 CASCADIAN LANE
WINTHROP WA 98862

Organization’s website WWW.CHAMBON.ORG
Organization’s email SAUVAGE@CHAMBON.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/82
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name PIERRE SAUVAGE
Signature Title PRESIDENT
Signature Date 3/5/18

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