FORM 1023-EZ for ANIMATION DIVERSITY FOUNDATION

Field Data
EIN 84-3595517
Case Number EO-2019317-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMATION DIVERSITY FOUNDATION
Organization’s Mailing Address 15814 NE 61ST ST
City REDMOND
State WA
ZIP 98052-4806
Accounting period End 12
Primary contact name TIM BORRELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM BORRELLI
PRESIDENT, TREASURER
15814 NE 61ST ST
REDMOND WA 98052-4806

Officer/Director/Trustee Two

LIANNE HORVATH
VICE PRESIDENT
9753 NE 135TH PL
KIRKLAND WA 98034

Officer/Director/Trustee Three

JENNY SON
SECRETARY
3527 SOUTH RIVER TERRACE
EDGEWATER MD 21037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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 TIM BORRELLI
Signature Title PRESIDENT, TREASURER
Signature Date 11/11/19

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