FORM 1023-EZ for CECIL AND SETSUKO TIFFIN PRIVATE FOUNDATION

Field Data
EIN 46-2027493
Case Number EO-2016319-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CECIL AND SETSUKO TIFFIN PRIVATE FOUNDATION
Organization’s Mailing Address 23001 LA PALMA AVE SUITE 220A
City YORBA LINDA
State CA
ZIP 92887
Accounting period End 12
Primary contact name MICHAEL DELUCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT LEWIS
EXECUTIVE DIRECTOR
3782 AQUEDUCT LN
CHINO HILLS CA 91709

Officer/Director/Trustee Two

BONNIE LEWIS
SECRETARY
3782 AQUEDUCT LN
CHINO HILLS CA 91709

Officer/Director/Trustee Three

CHAD LEWIS
TREASURER
3782 AQUEDUCT LN
CHINO HILLS CA 91709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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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