FORM 1023-EZ for THE FAIRCOSA FOUNDATION

Field Data
EIN 83-2658235
Case Number EO-2018334-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FAIRCOSA FOUNDATION
Organization’s Mailing Address 4296 E 167TH ST
City CLEVELAND
State OH
ZIP 44128
Accounting period End 10
Primary contact name MATTHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW FAIRFIELD
PRESIDENT
3830 W 135TH ST
CLEVELAND OH 44111

Officer/Director/Trustee Two

JACQUELINE WARREN
VICE PRESIDENT
16016 S LOTUS DR
CLEVELAND OH 44128

Officer/Director/Trustee Three

REBECCA CREW
SECRETARY
9955 EDGERTON RD
NORTH ROYALTON OH 44133

Officer/Director/Trustee Four

JENNIFER PETERSON
TREASURER
3830 W 135TH ST
CLEVELAND OH 44111

Officer/Director/Trustee Five

KIMBERLY HLAFKA
GENERAL DIRECTOR
1224 HALL AVE
LAKEWOOD OH 44107

Organization’s website HTTPS://DEALS.WEKU.IO/@FAIRCOSA
Organization’s email SUPPORT@FAIRCOSA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER PETERSON
Signature Title TREASURER
Signature Date 11/28/18

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