FORM 1023-EZ for AUDREY MARIE ELLIS FOUNDATION

Field Data
EIN 86-2046685
Case Number EO-2021099-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUDREY MARIE ELLIS FOUNDATION
Organization’s Mailing Address 351 LA CASA VIA
City WALNUT CREEK
State CA
ZIP 94598
Accounting period End 12
Primary contact name ANNE DAVIS EAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ELLIS
PRESIDENT
351 LA CASA VIA
WALNUT CREEK CA 94598

Officer/Director/Trustee Two

JANINE ELLIS
SECRETARY
351 LA CASA VIA
WALNUT CREEK CA 94598

Officer/Director/Trustee Three

KELSEY ELLIS
TREASURER
351 LA CASA VIA
WALNUT CREEK CA 94598

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 SCOTT ELLIS
Signature Title PRESIDENT
Signature Date 3/22/2021

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