FORM 1023-EZ for 1ST STARTUP USA

Field Data
EIN 81-4513322
Case Number EO-2016364-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1ST STARTUP USA
Organization’s Mailing Address 4245 VERDIGRIS CIRCLE
City SAN JOSE
State CA
ZIP 95134
Accounting period End 12
Primary contact name BOB IOFIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB IOFIS
PRESIDENT
4245 VERDIGRIS CIRCLE
SAN JOSE CA 95134

Officer/Director/Trustee Two

JULIA BABAYANTS
VICE PRESIDENT
4858 SPEAK LANE
SAN JOSE CA 95118

Officer/Director/Trustee Three

DIANA ALPER
SECRETARY
1730 DALTON DRIVE
SAN JOSE CA 95124

Officer/Director/Trustee Four

SIMA GAVRILOV
TREASURER
3128 LOMA VERDE DRIVE APT 311
SAN JOSE CA 95116

Officer/Director/Trustee Five

LORA MALY
BOARD MEMBER
360 CAMINO PARQUE
OCEANSIDE CA 92057

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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
Signature Title
Signature Date

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