FORM 1023-EZ for THE GUARDIAN FOUNDATION

Field Data
EIN 47-3114836
Case Number EO-2019196-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GUARDIAN FOUNDATION
Organization’s Mailing Address 2263 RIVERVIEW COURT
City BULLHEAD CITY
State AZ
ZIP 86442
Accounting period End 12
Primary contact name ROBERT BRANDEFINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES KELLY
PRESIDENT
1687 SIERRA VISTA
BULLHEAD CITY AZ 86442

Officer/Director/Trustee Two

DAVID LIPINSKI
COMMUNITY LIASON
2000 ARENA
BULLHEAD CITY AZ 86442

Officer/Director/Trustee Three

ROBERT BRANDEFINE
TREASURER
2263 RIVERVIEW COURT
BULLHEAD CITY AZ 86442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/15
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT BRANDEFINE
Signature Title TREASURER
Signature Date 7/11/19
EIN 47-3114836
Case Number EO-2016195-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GUARDIAN FOUNDATION
Organization’s Mailing Address 1659 COLINA DR
City BULLHEAD CITY
State AZ
ZIP 86442
Accounting period End 12
Primary contact name DAVID LIPINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMIAH BEZONA
PRESIDENT
1659 COLINA DR
BULLHEAD CITY AZ 86442

Officer/Director/Trustee Two

DAVID LIPINSKI
VICE-PRESIDENT
853 WARREN RD APT 4
BULLHEAD CITY AZ 86442

Officer/Director/Trustee Three

LACEY BEZONA
SEC TREASURER
1659 COLINA DR
BULLHEAD CITY AZ 86442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, 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
Signature Title
Signature Date

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