EFTA00753689.pdf

r. 1023 Application for Recognition of Exemption OMB No 16450066 (Rev. Ana 1950 If exempt it.,., is Department of the Treasury Under Section 501(c)(3) of the Internal Revenue Code approved. Pus opplintion will be open Internal fleeenue 5euvls• for public inspecton Road the instructions for each Part rarolully. A User Fee must be attached to this application. If the required 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) 2 Employer identification number (EIN) If none, see a e 2 of the instructions.) THE C.O.U.Q. FOUNDATION, INC. lb ch Name (if apOcable) 3 Name and telephone number of person to be contacted d additional information c/o GEORGE V. DELSON ASSOCIATES is needod 1c Address (number and street) Room/Suite CPA 110 EAST 59TH STREET 28TH FLR td City or town, slate, and ZIP code 4 Month the annual accounting period ends NEW YORK, NEW YORK 1 0 0 2 2 FEBRUARY 28 6 Date incorporated or formed 6 Activity codes (See page 3 of the instructions.) 7 Check here if applying under section 03/16/1998 602 1 I a i 1601(e) b 1 1 6010) c I -1 601(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 No ri a 'Yes," attach an explanation. 9 Is the organization required to file Form 990 (or Form 99012)? N/A U Yes Lj No Li II 'No? attach an explanation (see page 3 of the Specific Instructions). 10 Has the organization Ned Federal income tax returns or exempt organization information returns? Yes No Li Lj If 'Yes,' state the form numbers. years filed, and Internal Revenue office whom Med. 11 Check the box lot the type of 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- Attach a copy of the Articles of Incorporation (including amendments and restatements) showing approval by the appropriate slate official: also include a copy of the bylaws. b numb Attach a copy of the Trust Indenture or Agreement, including all appropriate signatures and dates. c Association- Attach a copy of the Articles of Association. Constitution. or other creating document, with a declaration (see instructions) or other evidence the organization was termed by adoption of 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 hero . . I dean end,. the penalties of ninny than t em raithonsed to sign On *poppets° on belies of the above impanneren and that I have examined this application, including the accornpaerpng schedules and eliachments, and to the bet/ of my Imovetedge It h 41.10. carved end corrigahre. Please Sign k Here (Signature) Met a ainhinly oisigned 0 31.1 For Paperwork Reduction Act Notice, see page 1 of the Instructions. AA /04) EFTA00753689  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 EFTA00753690