FORM 1023-EZ for TELLUS NOVA FOUNDATION

Field Data
EIN 82-2316983
Case Number EO-2018128-000941
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TELLUS NOVA FOUNDATION
Organization’s Mailing Address PO BOX 1359
City NOVATO
State CA
ZIP 94948-1359
Accounting period End 3
Primary contact name MARK THOMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTO MUNOZ
CFO/DIRECTOR
166 SANTA ALICIA DRIVE APT 20
ROHNERT PARK CA 94928-3285

Officer/Director/Trustee Two

MARK THOMSON
EXECUTIVE DIRECTOR/DIRECTOR
603 ARTHUR STREET
NOVATO CA 94947-4416

Officer/Director/Trustee Three

JOSEPH HUNTER
SECRETARY/DIRECTOR
82 BUCKELEW STREET
SAUSALITO CA 94965-1120

Officer/Director/Trustee Four

TRAVIS BRANDOW
CHIEF ADMINISTRATIVE OFFICER
PO BOX 6671
BEAVERTON OR 97007-6671

Officer/Director/Trustee Five

DEMETRIUS STRIPLIN
CHIEF PUBLIC AFFAIRS OFFICER
430 ALAMEDA DEL PRADO APT I
NOVATO CA 94949-6334

Organization’s website WWW.TELLUSNOVA.ORG
Organization’s email INFO@TELLUSNOVA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 MARK THOMSON
Signature Title EXECUTIVE DIRECTOR/DIRECTOR
Signature Date 5/3/18

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