FORM 1023-EZ for FIRE LANE FOUNDATION

Field Data
EIN 84-3715719
Case Number EO-2020044-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRE LANE FOUNDATION
Organization’s Mailing Address 10810 E EL RANCHO DR
City SCOTTSDALE
State AZ
ZIP 85259
Accounting period End 12
Primary contact name EVAN PRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN PRICE
PRESIDENT/DIRECTOR
10810 E EL RANCHO DR
SCOTTSDALE AZ 85259

Officer/Director/Trustee Two

TAMMY RASKIN
TREASUER/SECRETARY
10810 E EL RANCHO DR
SCOTTSDALE AZ 85259

Officer/Director/Trustee Three

ELIZABETH TADDIKEN
DIRECTOR
10810 E EL RANCHO DR
SCOTTSDALE AZ 85259

Officer/Director/Trustee Four

DAVE KEATING
DIRECTOR
10810 E EL RANCHO DR
SCOTTSDALE AZ 85259

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Financial transactions with officers No
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 EVAN PRICE
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/11/2020

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