FORM 1023-EZ for POLARIS CHARTER SCHOOL FOUNDATION

Field Data
EIN 82-4853807
Case Number EO-2018095-000612
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLARIS CHARTER SCHOOL FOUNDATION
Organization’s Mailing Address 851 45TH STREET
City LOS ALAMOS
State NM
ZIP 87544
Accounting period End 6
Primary contact name BRANDEN WILLMAN-KOZIMOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE ALTHERR
PRESIDENT
1900 CAMINO REDONDO
LOS ALAMOS NM 87544

Officer/Director/Trustee Two

WILLIAM HARGRAVES
SECRETARY
PO BOX 584
VELARDE NM 87582

Officer/Director/Trustee Three

BRANDEN WILLMAN-KOZIMOR
TREASURER
851 45TH STREET
LOS ALAMOS NM 87544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRANDEN WILLMAN-KOZIMOR
Signature Title TREASURER
Signature Date 3/22/18

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