FORM 1023-EZ for APPLIED INNOVATION FOUNDATION

Field Data
EIN 81-2977532
Case Number EO-2016193-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPLIED INNOVATION FOUNDATION
Organization’s Mailing Address 1510 PAGE MILL ROAD STE 110
City PALO ALTO
State CA
ZIP 94304-1125
Accounting period End 12
Primary contact name RICHARD HORNING CO REED SMITH LLP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID SMITH
DIRECTOR
1370 WILLOW ROAD
MENLO PARK CA 94025-1516

Officer/Director/Trustee Two

JOANNE HORNING
DIRECTOR
2864 JACKSON STREET
SAN FRANCISCO CA 94115-1146

Officer/Director/Trustee Three

DAVID KAPLOW
DIRECTOR
505 CLARK COURT
LOS ALTOS CA 94024-3166

Officer/Director/Trustee Four

STEVE ADELMAN
PRESIDENT, TREASURER, SECRETARY
1684 KITCHNER DRIVE
SUNNYVALE CA 94087-4131

Officer/Director/Trustee Five

RICHARD HORNING
ASSISTANT SECRETARY
2864 JACKSON STREET
SAN FRANCISCO CA 94115-1146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
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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