FORM 1023-EZ for AKIN FERTILITY FOUNDATION

Field Data
EIN 82-2874478
Case Number EO-2017305-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AKIN FERTILITY FOUNDATION
Organization’s Mailing Address 3216 EARLMAR DR
City LOS ANGELES
State CA
ZIP 90064
Accounting period End 12
Primary contact name SARA JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN NOLAN
TREASURER
3216 EARLMAR DR
LOS ANGELES CA 90064

Officer/Director/Trustee Two

SARA JENSEN
PRESIDENT
3216 EARLMAR DR
LOS ANGELES CA 90064

Officer/Director/Trustee Three

RADHIKA TANDON
SECRETARY
3216 EARLMAR DR
LOS ANGELES CA 90064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied Services
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 No
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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