FORM 1023-EZ for 4610 FOUNDATION

Field Data
EIN 83-1167895
Case Number EO-2020213-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4610 FOUNDATION
Organization’s Mailing Address 7661 EAST VIA DEL PLACITO
City SCOTTSDALE
State AZ
ZIP 85258
Accounting period End 12
Primary contact name JOHN LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN LANG
MEMBER
7661 EAST VIA DEL PLACITO
SCOTTSDALE AZ 85258

Officer/Director/Trustee Two

BRIAN LANG
MEMBER
4621 EAST SUNNYSIDE LANE
PHOENIX AZ 85032

Officer/Director/Trustee Three

DIANE LANG
MEMBER
7661 EAST VIA DEL PLACITO
SCOTTSDALE AZ 85258

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2018
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN LANG
Signature Title MEMBER
Signature Date 7/29/2020

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