FORM 1023-EZ for ELIZABETH KOSTOVA FOUNDATION INC

Field Data
EIN 81-1110067
Case Number EO-2016090-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETH KOSTOVA FOUNDATION INC
Organization’s Mailing Address 176 EAST 85TH ST APT 1A
City NEW YORK
State NY
ZIP 10028-2186
Accounting period End 12
Primary contact name MILENA D IVANOVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH KOSTOVA
DIRECTOR, CHAIRMAN, PRESIDENT
394 VANDERBILT ROAD
ASHEVILLE NC 28803-3036

Officer/Director/Trustee Two

MILENA D IVANOVA
DIRECTOR, MANAGING DIRECTOR, SECY
176 EAST 85TH ST APT 1A
NEW YORK NY 10028-2186

Officer/Director/Trustee Three

JEREMIAH CHAMBERLIN
DIRECTOR
520 CENTER DR
ANN ARBOR NY 48103-2871

Officer/Director/Trustee Four

PAUL VIDICH
DIRECTOR
122 SPRING ST APT 2N
NEW YORK NY 10012-3880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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