FORM 1023-EZ for ETCH A FOUNDATION

Field Data
EIN 87-2811013
Case Number EO-2021271-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETCH A FOUNDATION
Organization’s Mailing Address 6341 SOUTH ZENOBIA COURT
City LITTLETON
State CO
ZIP 80123
Accounting period End 12
Primary contact name JEFFREY RICHARD KESSELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY KESSELMAN
PRESIDENT AND DIRECTOR
6341 SOUTH ZENOBIA COURT
LITTLETON CO 80123

Organization’s website NOT AVAILABLE
Organization’s email JEFFREY.KESSELMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFREY KESSELMAN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/27/2021

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