FORM 1023-EZ for ANX FOUNDATION INC

Field Data
EIN 83-1863594
Case Number EO-2018256-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANX FOUNDATION INC
Organization’s Mailing Address 455 HICKEY BLVD SUITE 320
City DALY CITY
State IN
ZIP 94015
Accounting period End 12
Primary contact name ADRIA PRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS ROCAS
PRESIDENT
17 JASMINE COURT
MILLBRAE CA 94030

Officer/Director/Trustee Two

CHRISTINA DUNHAM
SECRETARY/TREASURER
1170 ACACIA
MONTARA CA 94037

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 THOMAS ROCAS
Signature Title PRESIDENT
Signature Date 9/11/18

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