FORM 1023-EZ for POLKA DOT FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-1667753 |
| Case Number | EO-2015077-000328 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | POLKA DOT FOUNDATION |
| Organization’s Mailing Address | 31 DOS POSOS |
| City | ORINDA |
| State | CA |
| ZIP | 94563 |
| Accounting period End | 6 |
| Primary contact name | REGINALD H BARRETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
REGINALD BARRETT
CHIEF EXECUTIVE
31 DOS POSOS
ORINDA CA 94563
Officer/Director/Trustee Two
ROB ARAMAYO
SECRETARY
555 PIERCE ST UNIT 1008
ALBANY CA 94706
Officer/Director/Trustee Three
ELIZABETH COLLIER
CHIEF FINANCIAL OFFICER
HC2 BOX 280
NOGALES AZ 85621
| Organization’s website | NA |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/13/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U21 - Marine Science and Oceanography |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes 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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