FORM 1023-EZ for CHVATAL-KEANE PHILANTHROPIC FOUNDATION

Field Data
EIN 37-1808971
Case Number EO-2016138-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHVATAL-KEANE PHILANTHROPIC FOUNDATION
Organization’s Mailing Address 1299 OCEAN AVE SUITE 333
City SANTA MONICA
State CA
ZIP 90401
Accounting period End 12
Primary contact name JEFF JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN KEANE
PRESIDENT
1299 OCEAN AVE SUITE 333
SANTA MONICA CA 90401

Officer/Director/Trustee Two

CYNTHIA CHVATAL
VICE PRESIDENT
1299 OCEAN AVE SUITE 333
SANTA MONICA CA 90401

Officer/Director/Trustee Three

JOHN KEANE
TREASURER
1299 OCEAN AVE SUITE 333
SANTA MONICA CA 90401

Officer/Director/Trustee Four

CYNTHIA CHVATAL
SECRETARY
1299 OCEAN AVE SUITE 333
SANTA MONICA CA 90401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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