FORM 1023-EZ for LEVIN FAMILY FOUNDATION

Field Data
EIN 35-2543625
Case Number EO-2015316-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEVIN FAMILY FOUNDATION
Organization’s Mailing Address 3420 21ST STREET
City SAN FRANCISCO
State CA
ZIP 94110
Accounting period End 12
Primary contact name ASREIL LEVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASRIEL LEVIN
DIRECTOR
3420 21ST STREET
SAN FRANCISCO CA 94110

Officer/Director/Trustee Two

CARMELA LEVIN
DIRECTOR
3420 21ST STREET
SAN FRANCISCO CA 94110

Officer/Director/Trustee Three

ROIE LEVIN
DIRECTOR
3420 21ST STREET
SAN FRANCISCO CA 94110

Officer/Director/Trustee Four

ITAI LEVIN
DIRECTOR
3420 21ST STREET
SAN FRANCISCO CA 94110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
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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