FORM 1023-EZ for SEMPERFIDO FUND

Field Data
EIN 45-5371491
Case Number EO-2014238-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEMPERFIDO FUND
Organization’s Mailing Address 12627 ROSE AVENUE
City LOS ANGELES
State CA
ZIP 90066-1519
Accounting period End 12
Primary contact name CARY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARY JONES
DIRECTOR AND PRESIDENT
12627 ROSE AVENUE
LOS ANGELES CA 90066-1519

Officer/Director/Trustee Two

MAUREEN RYAN
DIRECTOR AND SECRETARY
1853 BARRY AVENUE
LOS ANGELES CA 90025-5306

Officer/Director/Trustee Three

STEWART GIVEN
DIRECTOR AND TREASURER/CFO
1034 18TH STREET APT 1
SANTA MONICA CA 90403-4452

Organization’s website NONE
Organization’s email CJONESRUN@MAC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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
Signature Title
Signature Date

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