FORM 1023-EZ for KINGSTON XAVIER FOUNDATION INC

Field Data
EIN 86-3759476
Case Number EO-2021239-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGSTON XAVIER FOUNDATION INC
Organization’s Mailing Address 3413 WINTER PARK DR APT 60
City SACRAMENTO
State CA
ZIP 95834
Accounting period End 4
Primary contact name MARILYN RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN RODRIGUEZ
PRES & TREAS & DIR
3413 WINTER PARK DR APT 60
SACRAMENTO CA 95834

Officer/Director/Trustee Two

JENNA TARANGO
SECRETARY
491 POSADA WAY APT 9
CHICO CA 95973

Organization’s website WWW.KINGSTONXAVIERFOUNDATION.COM
Organization’s email MARILYN@KINGSTONXAVIERFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 MARILYN RODRIGUEZ
Signature Title PRES & TREAS & DIR
Signature Date 8/25/2021

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