FORM 1023-EZ for OUR PALE BLUE DOT FOUNDATION

Field Data
EIN 47-1888090
Case Number EO-2014336-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR PALE BLUE DOT FOUNDATION
Organization’s Mailing Address 8401 ORCHARD HILL DR
City PLANO
State TX
ZIP 75025
Accounting period End 12
Primary contact name VIJI RAJARAMANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SRIKANTH SUBRAMANIAN
EXECUTIVE DIRECTOR
1209 SARITA DR
ALLEN TX 75013

Officer/Director/Trustee Two

VENKATESH THYAGARAJAN
VICE PRESIDENT
9016 JASMINE LANE
IRVING TX 75063

Officer/Director/Trustee Three

RAJEEV RAI
TREASURER
6513 JAMESTOWN ROAD
FRISCO TX 75035

Officer/Director/Trustee Four

VIJI RAJARAMANAN
PRESIDENT FOUNDER
8401 ORCHARD HILL DR
PLANO TX 75025

Organization’s website HTTP://OPBDF.ORG
Organization’s email SRIK@OPBDF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance Yes
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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