FORM 1023-EZ for COWAN FOUNDATION

Field Data
EIN 81-1191403
Case Number EO-2016036-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COWAN FOUNDATION
Organization’s Mailing Address 11624 JOLLYVILLE ROAD APT 1232
City AUSTIN
State TX
ZIP 78759
Accounting period End 12
Primary contact name TARA A POTTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD COWAN
DIRECTOR
11624 JOLLYVILLE ROAD APT 1232
AUSTIN TX 78759

Officer/Director/Trustee Two

AMANDA DLUGOPOLSKI
DIRECTOR
2101 BURTON DRIVE APT 2101
AUSTIN TX 78749

Officer/Director/Trustee Three

KATHRYN MALONE
DIRECTOR
6132 SEVILLE DRIVE
AUSTIN TX 78724

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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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