FORM 1023-EZ for CONNER BISHOP ZION FOUNDATION

Field Data
EIN 46-4985777
Case Number EO-2015132-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNER BISHOP ZION FOUNDATION
Organization’s Mailing Address 23461 RIDGE ROUTE NUMBER D
City LAGUNA HILLS
State CA
ZIP 92653
Accounting period End 12
Primary contact name JEFFREY ETTINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL WALDEN
PRESIDENT
2625 CANTO ROMPEOLAS
SAN CLEMENTE CA 92673

Officer/Director/Trustee Two

JEFFREY ETTINGER
TREASURER
27192 WOODBLUFF RD
LAGUNA HILLS CA 92653

Officer/Director/Trustee Three

HEIDI ROSOFSKY
SECRETARY
AVENIDA CALIDAD
MISSON VIEJO CA 92692

Officer/Director/Trustee Four

KAREN RABIN
OFFICER
38 WOODSWALLOW RD
ALISO VIEJO CA 92653

Officer/Director/Trustee Five

ROBERT HUFFMAN
OFFICER
10247 BELLGRAVE AVE
JURUPA VALLEY CA 91752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 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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