FORM 1023-EZ for BLFS FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-5028072 |
| Case Number | EO-2018128-000400 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLFS FOUNDATION |
| Organization’s Mailing Address | 7305 HAZELTINE AVE STE 105 |
| City | VAN NUYS |
| State | CA |
| ZIP | 91405 |
| Accounting period End | 12 |
| Primary contact name | ALI DELLINGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAYRO MARTINEZ
PRESIDENT
7305 HAZELTINE AVE STE 105
VAN NUYS CA 91405
Officer/Director/Trustee Two
ALI DELLINGER
VICE PRESIDENT
30 NOTTINGHAM RD
WESTLAKE VILLAGE CA 91361
Officer/Director/Trustee Three
GUS DE LA CRUZ
SECRETARY
7337 VANALDEN AVE
RESEDA CA 91335
Officer/Director/Trustee Four
JUAN HERRERA
TREASURER
19734 LULL ST
WINNETKA CA 91306
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/9/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| 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 | 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 | ALI DELLINGER |
| Signature Title | VICE PRESIDENT |
| Signature Date | 5/1/18 |
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