FORM 1023-EZ for QUASAR QUANTUM YOUTH FUND

Field Data
EIN 86-2804267
Case Number EO-2021100-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUASAR QUANTUM YOUTH FUND
Organization’s Mailing Address 14809 N 73RD STREET STE 101
City SCOTTSDALE
State AZ
ZIP 85260-3104
Accounting period End 12
Primary contact name MONICA B SAMUELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA SAMUELS
PRESIDENT
5050 N 40TH ST SUITE 240
PHOENIX AZ 85018-2113

Officer/Director/Trustee Five

NONE NO ONE
NOTHING
NOWHERE
NONE AZ 85018-3104

Organization’s website
Organization’s email mike@samuelslawgroup.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MONICA SAMUELS
Signature Title PRESIDENT
Signature Date 3/23/2021

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