FORM 1023-EZ for PINK UNICORN FOUNDATION INC

Field Data
EIN 47-5399738
Case Number EO-2017132-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINK UNICORN FOUNDATION INC
Organization’s Mailing Address 1990 N CALIFORNIA BLVD STE 16
City WALNUT CREEK
State CA
ZIP 94596
Accounting period End 12
Primary contact name MICHAEL MCGOWAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARIUS MIRSHAHZEDEH
PRESIDENT
1990 N CALIFORNIA BLVD STE 16
WALNUT CREEK CA 94596

Officer/Director/Trustee Two

KELLY PICKOLICK
SECRETARY/TREASURER
1990 N CALIFORNIA BLVD STE 16
WALNUT CREEK CA 94596

Officer/Director/Trustee Three

MARK FARRAR
DIRECTOR
135 MAXESS ROAD
MELVILLE NY 11747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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