FORM 1023-EZ for BIOMIMICRY FOR SOCIAL INNOVATION

Field Data
EIN 85-3598977
Case Number EO-2020302-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIOMIMICRY FOR SOCIAL INNOVATION
Organization’s Mailing Address 119 LA JOYA RD
City SANTA FE
State NM
ZIP 87501-2344
Accounting period End 12
Primary contact name TOBY HERZLICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADELMA HNASKO
DIRECTOR
1239 CANYON RD
SANTA FE NM 87501

Officer/Director/Trustee Two

DAYNA BAUMEISTER
DIRECTOR
1511 IRON STREET
BELLINGHAM WA 98225

Officer/Director/Trustee Three

RACHEL BAGBY
DIRECTOR
PO BOX 5101
CHARLOTTESVILLE VA 22905

Officer/Director/Trustee Four

ELSA MENENDEZ
DIRECTOR
417 12TH STREET SW
ALBUQUERQUE NM 87104

Officer/Director/Trustee Five

TOBY HERZLICH
DIRECTOR
119 LA JOYA ROAD
SANTA FE NM 87501

Organization’s website WWW.BIO-SIS.NET
Organization’s email INFO@BIO-SIS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 TOBY HERZLICH
Signature Title DIRECTOR
Signature Date 10/26/2020

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