FORM 1023-EZ for VERN LEIDIG FOUNDATION

Field Data
EIN 47-2902218
Case Number EO-2015028-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VERN LEIDIG FOUNDATION
Organization’s Mailing Address 1427 MONTEREY ROAD
City SOUTH PASADENA
State CA
ZIP 91030
Accounting period End 12
Primary contact name DANIEL M EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYMOND BRIGGS
DR
1307A SPRUCE STREET
SOUTH PASADENA CA 91030

Officer/Director/Trustee Two

DANIEL EVANS
NONE
1427 MONTEREY ROAD
SOUTH PASADENA CA 91030

Officer/Director/Trustee Three

STEVEN HILL
NONE
2286 EAST MOUNTAIN STREET
PASADENA CA 91104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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