FORM 1023-EZ for ATAKAM BIOTECH FOUNDATION

Field Data
EIN 86-3310164
Case Number EO-2021109-000643
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATAKAM BIOTECH FOUNDATION
Organization’s Mailing Address 11100 STRATHERN ST 53
City SUN VALLEY
State CA
ZIP 91352
Accounting period End 12
Primary contact name ANDREW OSICHNUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW OSICHNUK
PRESIDENT
11100 STRATHERN ST 53
SUN VALLEY CA 91352

Officer/Director/Trustee Two

MARIANNA LEYBEL
TREASURER
11100 STRATHERN ST 53
SUN VALLEY CA 91352

Officer/Director/Trustee Three

ALINA OSIPOVA
SECRETARY
11100 STRATHERN ST 53
SUN VALLEY CA 91352

Organization’s website
Organization’s email BIOTECH@ATAKAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREW OSICHNUK
Signature Title PRESIDENT
Signature Date 4/16/2021

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