Case File
efta-efta00521100DOJ Data Set 9OtherDS9 Document EFTA00521100
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Unknown
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DOJ Data Set 9
Reference
efta-efta00521100
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0
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_
r. 1023
(Rev. Ana 1950
Department ol the Treasury
Internal Revenue 5eMc.
If the required
Application for Recognition of Exemption
Under Section 501(c)(3) of the Internal Revenue Code
OMB No 16450066
If exempt it.,., is
approved. Pus
opplicaion will be open
for public wisp/coca
Road the instructions for each Part (mot*.
A User Fee must be attached to this application.
information and appropriate documents are not submitted along with form 8718 (with payment of the
appropriato user foo). the application may be returned to you.
Complete the Procedural Checklist on page 7 of the instructions.
Part I
Identification of Applicant
18 Full name of organization (as shown in organizing document)
THE C.O.U.Q. FOUNDATION, INC.
2 Employer identification number (EIN)
(II none, see a e 2 of the insuuctions.)
lb ch Name (if ap*abie)
c/o GEORGE V. DELSON ASSOCIATES
3 Name and telephone number of person
to be contacted It additional Information
is nooded
CPA
1c Address (number and street)
110 EAST 59TH STREET
r2
oom/Suite
8TH FLR
1d City or town, slate, and ZIP code
NEW YORK, NEW YORK
1
0 0 2 2
4 Month the annual accounting period ends
FEBRUARY 28
6
Date incorporated or formed
0 3/1 6/1 998
6 Activity codes (See page 3 of the instructions.)
602
I
i
7 Check here if applying under section:
a i
1601(e)
b 1 1 6018)
c I-1601(k)
8
Did the organization previously apply for recognition of oxemption under this Code section or under any
other section of the Code?
O
Yes ri No
II 'Yes,' attach an explanation.
9
Is the organization required to file Form 990 (or Form 9901Z)?
II 'No? attach an explanation (see page 3 of the Specific Instructions).
1_1 N/A Li Yes Lj No
10 Has the organization Ned Federal income tax returns or exempt organization information returns?
If "Yes,' state the form numbers. years filed, and Internal Revenue office wham Med.
Li Yes Lj
No
11
Check the box lot the typo ol organization. ATTACH A CONFORMED COPY Of THE CORRESPONDING
ORGANIZING
DOCUMENTS TO THE APPLICATION BEFORE MAILING. (See Specific Instructions for Part I, Lino 11, on pogo 3.) Get
Pub. 657. Tex-Exempt Status for Your Organization, for examples of organizational
documents.)
a IT' Corporation-
b ❑Trust.
C DAssociation-
Attach a copy of the Articles of Incorporation (including amendments and restatements) showing
approval by the appropriate state official: also include a copy of the bylaws.
Attach a copy of the Trust Indenture or Agreement, including all appropriate signatures and dates.
Attach a copy of the Articles of Association. Constitution. or other creating document, with a
declaration (see instructions) or other evidence the organization was Mimed by adoption ol the
document by more than one person; also include a copy of the bylaws.
If the organization Is a corporation or an unincorporated association that has not yet adopted bylaws, chock here
. . . .
I dean tinder the penalties of ninny OM I am wthonsed to sign the appliceben on belies of the above impswaren and that I have examined this application,
including the accomparrOng schedules and sliachments, and to the bet/ ol my Imovdedge It h 41.10. carted and corripade.
Please
Sign k
Here
For Paperwork Reduction Act Notice, see page 1 of the Instructions.
(Strottarg
Ca or at*
Amer)
0 31.1
AA
/00)
EFTA00521100
Fevre 1023 (Rev. 4.90
one 2
Part II
Activities and Operational Information
1 Provide a detailed narrative description of all the activities of the organization • past, present, and planned. Do not merrily
refer to or repeat the language in the organizational document. List each activity separatety in the order of importance
based on the relative time and other resources devoted to the activity. Indicate the percentage of time for each activity.
Each description should include. as a minimum, the folowing: (a) a detailed description of the activity including its purpose
and how each activity furthers your oxompt purpose; lb) when the activity was or will he initiated; and (c) where and by
whom the activity will be conducted.
(a) THE FOUNDATION INTENDS TO USE ITS FINANCIAL RESOURCES TO SUPPORT OTHER
NOT -FOR- PROFIT ORGANIZATIONS EXEMPT UNDER SECTION B01(C)(3) OF THE
INTERNAL REVENUE CODE.
(b) THE FOUNDATION ALSO INTENDS TO ADOPT A PROGRAM OF MAKING SCHOLARSHIP
GRANTS TO QUALIFIED INDIVIDUALS. SUCH GRANTS WILL BE AWARDED ON AN
OBJECTIVE AND NON-DISCRIMINATORY BASIS. SELECTION CRITERIA MAY CONSIDER,
AMONG OTHER THINGS: PRIOR ACADEMIC PERFORMANCE; PERFORMANCE ON TESTS;
RECOMMENDATIONS FROM FACULTY; FINANCIAL NEED; INTERVIEWS WITH SELECTION
COMMITTEES; ETC. PREFERENCE TO FAMILY MEMBERS OF AND/OR SUBSTANTIAL
CONTRIBUTORS WILL NOT BE PERMITTED. A SELECTION COMMITTEE MADE UP OF
MEMBERS WHO HAVE NO FAMILY OR BUSINESS RELATIONSHIP TO A SUBSTANTIAL
CONTRIBUTOR OR FOUNDATION MANAGER WILL ADMINISTER THE SELECTION PROCESS.
(c) IT WILL FROM TIME-TO-TIME, HOLD FUNDS IN INTEREST BEARING ACCOUNTS OR
INVESTMENTS IN INCOME SECURITIES. ANY INCOME DERIVED FROM SUCH INVESTMENTS
WILL BE USED FOR ITS STATED PURPOSES.
(d) THE ACTIVITIES OF THE FOUNDATION WILL BE ADMINISTERED BY ITS BOARD OF
DIRECTORS AND APPOINTED OFFICERS.
2 What aro or will be the organization's sources of Mandel support? Lest In order of sza.
THE FOUNDATION WILL BE FUNDED PRINCIPALLY BY CONTRIBUTIONS FROM THE
INITIAL DONOR. ADDITIONAL CONTRIBUTIONS MAY BE RECEIVED FROM
FAMILY MEMBERS AND/OR BUSINESS ASSOCIATES OF THE DONOR.
3 Describe the organization's fundraising program, both actual and planned. and explain to what extent it has boon put into
effect. Include details of fundraising activities such as selective mailings, formation of fundraising committees, use of
volunteers or professional fundraisers. eta. Attach representative copies of solicitations for financial support.
NO FUND RAISING ACTIVITIES ARE PLANNED AND CONTRIBUTIONS WILL
GENERALLY BE ON AN UNRESTRICTED BASIS.
J5A
nvesa I.000
EFTA00521101
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