FORM 1023-EZ for AZ BURN SPORTS PROGRAM INC

Field Data
EIN 81-2131187
Case Number EO-2016138-000560
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AZ BURN SPORTS PROGRAM INC
Organization’s Mailing Address 7620 E MCKELLIPS RD SUITE 420
City SCOTTSDALE
State AZ
ZIP 85257-4600
Accounting period End 12
Primary contact name MARCUS BRUNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARCUS BRUNSON
PRESIDENT/FOUNDER
7620 E MCKELLIPS RD SUITE 420
SCOTTSDALE AZ 85257-4600

Officer/Director/Trustee Two

ALEXANDRIA JOLLY
DIRECTOR
7620 E MCKELLIPS RD SUITE 420
SCOTTSDALE AZ 85257-4600

Officer/Director/Trustee Three

AMANDA DYER
DIRECTOR
77620 E MCKELLIPS RD SUITE 420
SCOTTSDALE AZ 85257-4600

Officer/Director/Trustee Four

ANDREA GLENN
DIRECTOR
7620 E MCKELLIPS RD SUITE 420
SCOTTSDALE AZ 85257-4600

Organization’s website WWW.THEAZBURN.ORG
Organization’s email AZBURNYOUTHTRACK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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