FORM 1023-EZ for MODERN TIMES BOOKSTORE FOUNDATION

Field Data
EIN 47-1372572
Case Number EO-2014231-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MODERN TIMES BOOKSTORE FOUNDATION
Organization’s Mailing Address 268 BUSH STREET NUMBER 3237
City SAN FRANCISCO
State CA
ZIP 94104
Accounting period End 9
Primary contact name RICHARD KOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD KOCH
PRESIDENT
737 PINE ST APT 47
SAN FRANCISCO CA 94108

Officer/Director/Trustee Two

LOIS HELMBOLD
VICE-PRESIDENT
1565 - 33RD AVENUE
OAKLAND CA 94601

Officer/Director/Trustee Three

PHIL HUTCHINGS
SECRETARY-TREASURER
3405 DIMOND
OAKLAND CA 94602

Organization’s website
Organization’s email RPKOCH1@SBCGLOBAL.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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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