FORM 1023-EZ for STOREY FAMILY FOUNDATION

Field Data
EIN 83-6562400
Case Number EO-2019030-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOREY FAMILY FOUNDATION
Organization’s Mailing Address 7946 W ANDREA DR
City PEORIA
State AZ
ZIP 85383
Accounting period End 12
Primary contact name JONATHAN STOREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN STOREY
TRUSTEE
7946 W ANDREA DR
PEORIA AZ 85383

Organization’s website
Organization’s email JONSTOREY4@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN STOREY
Signature Title TRUSTEE
Signature Date 12/21/18

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