FORM 1023-EZ for THE CHLOE TEMTCHINE FOUNDATION

Field Data
EIN 83-1566851
Case Number EO-2018229-000518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CHLOE TEMTCHINE FOUNDATION
Organization’s Mailing Address 346 HAUSER BLVD APT 402
City LOS ANGELES
State CA
ZIP 90038
Accounting period End 12
Primary contact name CHLOE TEMTCHINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHLOE TEMTCHINE
PRESIDENT
346 HAUSER BLVD APT 402
LOS ANGELES CA 90038

Officer/Director/Trustee Two

CARMENLEAH ASCENCIO
TREASURER
295 FOREST HILLS ST APT 3
JAMAICA PLAIN MA 2130

Officer/Director/Trustee Three

DAVE BERRY
SECRETARY
12617 MATTESON AVE APT 6
LOS ANGELES CA 90066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 CHLOE TEMTCHINE
Signature Title PRESIDENT
Signature Date 8/15/18

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