FORM 1023-EZ for 4 YS FOUNDATION

Field Data
EIN 84-2989150
Case Number EO-2019259-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4 YS FOUNDATION
Organization’s Mailing Address 11345 COUNTRYWAY BLVD
City TAMPA
State FL
ZIP 33626
Accounting period End 12
Primary contact name JOHANN EPSTEIN OR GIAN GORDON-WHYTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHANN EPSTEIN
PRESIDENT
11345 COUNTRYWAY BLVD
TAMPA FL 33626

Officer/Director/Trustee Two

LISA LAKE
VICE PRESIDENT
11345 COUNTRYWAY BLVD
TAMPA FL 33626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y19 - Nonmonetary Support N.E.C.
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 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 JOHANN EPSTEIN
Signature Title PRESIDENT
Signature Date 9/10/19

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