FORM 1023-EZ for THROWING STARFISH FOUNDATION

Field Data
EIN 82-4351332
Case Number EO-2018046-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THROWING STARFISH FOUNDATION
Organization’s Mailing Address 330 VERNON STREET BOX 1203
City ROSEVILLE
State CA
ZIP 95678-9500
Accounting period End 12
Primary contact name REBEKAH ROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBEKAH ROOK
CEO/PRESIDENT
330 VERNON STREET BOX 1203
ROSEVILLE CA 95678-9500

Officer/Director/Trustee Two

DAWN DAIS
CFO/TREASURER
330 VERNON STREET BOX 1203
ROSEVILLE CA 95678-9500

Officer/Director/Trustee Three

PETER CONSTANT
DIRECTOR
330 VERNON STREET BOX 1203
ROSEVILLE CA 95678-9500

Officer/Director/Trustee Four

TERESA GLISSMAN
DIRECTOR
330 VERNON STREET BOX 1203
ROSEVILLE CA 95678-9500

Officer/Director/Trustee Five

JODI HOLMES
SECRETARY
330 VERNON STREET BOX 1203
ROSEVILLE CA 95678-9500

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 REBEKAH ROOK
Signature Title PRESIDENT
Signature Date 2/13/18

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