FORM 1023-EZ for FOUNDATION 67

Field Data
EIN 83-4682107
Case Number EO-2019133-000568
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION 67
Organization’s Mailing Address 492 E NAPA ST
City SONOMA
State CA
ZIP 95476
Accounting period End 12
Primary contact name GREGORY BRENNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOU COBOS
DIRECTOR
856 MOSCOW
SAN FRANCISCO CA 94112

Officer/Director/Trustee Two

MEAALI GUTU
DIRECTOR
860 COMMERCIAL AVE
SOUTH SAN FRANCISCO CA 94080

Officer/Director/Trustee Three

TIM FAAITA
DIRECTOR
24435 MOHR DR
HAYWARD CA 94545

Officer/Director/Trustee Four

GREGORY BRENNAN
DIRECTOR
492 E NAPA ST
SONOMA CA 95476

Organization’s website 67FOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Donation of funds Yes
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 GREGORY BRENNAN
Signature Title DIRECTOR
Signature Date 5/10/19

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