FORM 1023-EZ for SAN MARCOS FOUNDATION

Field Data
EIN 82-2900294
Case Number EO-2017313-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN MARCOS FOUNDATION
Organization’s Mailing Address 11503 WATERHAVEN CT
City RESTON
State VA
ZIP 20190
Accounting period End 12
Primary contact name DAISY SHLAKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAISY SHLAKMAN
EXECUTIVE DIRECTOR
11503 WATERHAVEN COURT
RESTON VA 20190

Officer/Director/Trustee Two

NATASSIA REILLY
SECRETARY
812 FALL PLACE
HERNDON VA 20170

Officer/Director/Trustee Three

ROBIN HOLLINGER
DIRECTOR OF SOCIAL MEDIA
10466 WHITE GRANITE CT
OAKTON VA 22124

Officer/Director/Trustee Four

PATRICIA SACCHETTI
DIRECTOR OF MARKETING
1700 LAKE SHORE CREST DR
RESTON VA 20190

Officer/Director/Trustee Five

ANDREW ETTINGER
PRESIDENT
11503 WATERHAVEN CT
RESTON VA 20190

Organization’s website SANMARCOSFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service 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 No
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
Signature Title
Signature Date

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