FORM 1023-EZ for BERKBRIDGE FOUNDATION

Field Data
EIN 47-2554006
Case Number EO-2017237-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BERKBRIDGE FOUNDATION
Organization’s Mailing Address 401 RYLAND STREET SUITE 200-A
City RENO
State NV
ZIP 89502
Accounting period End 12
Primary contact name ROBERT JALALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT JALALI
PRESIDENT
801 A STREET UNIT 519
SAN DIEGO FL 92101

Officer/Director/Trustee Two

FARZANEH GANJAVI
TRUSTEE
127 WEST FAIRBANKS AVENUE 320
WINTER PARK FL 32789

Officer/Director/Trustee Three

MICHAEL DAWSON
TRUSTEE
127 WEST FAIRBANKS AVENUE 320
WINTER PARK FL 32789

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-2554006
Case Number EO-2014352-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BERKBRIDGE FOUNDATION
Organization’s Mailing Address 401 RYLAND STREET SUITE 200-A
City RENO
State NV
ZIP 89502
Accounting period End 12
Primary contact name THOMAS BLAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT JALALI
PRESIDENT
545 STUDENT SERVICES 1900 PIEDMONT
BERKELEY CA 94720

Officer/Director/Trustee Two

FARZANEH DAWSON
TRUSTEE
2995 SHASTA ROAD
BERKELEY CA 94708

Officer/Director/Trustee Three

MICHAEL DAWSON
TRUSTEE
2995 SHASTA ROAD
BERKELEY CA 94708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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