FORM 1023-EZ for CAMBIUM FOUNDATION

Field Data
EIN 82-1308200
Case Number EO-2017118-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMBIUM FOUNDATION
Organization’s Mailing Address 4331 LAKE WASHINGTON BLVD NE - 7101
City KIRKLAND
State WA
ZIP 98033
Accounting period End 3
Primary contact name JEREMIAH ISAACSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMIAH ISAACSON
CHAIRMAN
4331 LAKE WASHINGTON BLVD NE - 7101
KIRKLAND WA 98033

Officer/Director/Trustee Two

KYLE BAUER
DIRECTOR
5105 SOUTH ROLLING GREEN AVE - 302
SIOUX FALLS SD 57108

Officer/Director/Trustee Three

ERIC SOOD
DIRECTOR
1710A 27TH AVE
SEATTLE WA 98122

Officer/Director/Trustee Four

ALEX BOWMAN
DIRECTOR
136 102ND AVE SE - 310
BELLEVUE WA 98004

Officer/Director/Trustee Five

BRADLEY KUKLENSKI
DIRECTOR
16415 NE 13TH STREET
BELLEVUE WA 98008

Organization’s website HTTP://WWW.CAMBIUMFOUNDATION.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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