FORM 1023-EZ for FAKIR MUSAFAR FOUNDATION

Field Data
EIN 84-2296333
Case Number EO-2019224-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAKIR MUSAFAR FOUNDATION
Organization’s Mailing Address 217 BAYVIEW ST
City SAN RAFAEL
State CA
ZIP 94901
Accounting period End 5
Primary contact name KENNETH RAYMOND GOUDEY II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH GOUDEY II
TREASURER
217 BAYVIEW ST
SAN RAFAEL CA 94901

Officer/Director/Trustee Two

ALAN WINSLOW
PRESIDENT
1095 NATOMA ST UNIT 4
SAN FRANCISCO CA 94103

Officer/Director/Trustee Three

ARNOLD BROWN
SECRETARY
5600 BRISTOL COURT
ALEXANDRIA VA 22312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH GOUDEY II
Signature Title TREASURER
Signature Date 8/8/19

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