FORM 1023-EZ for PROTEINX FOUNDATION

Field Data
EIN 86-2218086
Case Number EO-2021097-001121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROTEINX FOUNDATION
Organization’s Mailing Address 373 TAMPA COURT
City FOSTER CITY
State CA
ZIP 94404
Accounting period End 12
Primary contact name TOMMASO DI BARTOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMMASO DI BARTOLO
FOUNDING PRES/TRES/DIRECTOR
373 TAMPA COURT
FOSTER CITY CA 94404

Officer/Director/Trustee Two

LAVITOR MATZEMBACKER
SECRETARY
1772 DALE AVENUE
SAN MATEO CA 94401

Organization’s website WWW.PROTEINX.ORG
Organization’s email T@PROTEINX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U99 - Science and Technology Research Institutes, Services 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 TOMMASO DI BARTOLO
Signature Title FOUNDING PRES/TRES/DIRECTOR
Signature Date 3/15/2021

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