FORM 1023-EZ for FALCON YOUTH FITNESS FOUNDATION CORPORATION

Field Data
EIN 82-2775501
Case Number EO-2017258-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALCON YOUTH FITNESS FOUNDATION CORPORATION
Organization’s Mailing Address 9019 ROYAL MELBOURNE CIRCLE
City PEYTON
State CO
ZIP 80831
Accounting period End 12
Primary contact name DONOVAN ROUTSIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONOVAN ROUTSIS
PRESIDENT
9019 ROYAL MELBOURNE CIRCLE
PEYTON CO 80831

Officer/Director/Trustee Two

KRISTINA SHOUN
VICE PRESIDENT
10380 ROSS LAKE DR
PEYTON CO 80831

Officer/Director/Trustee Three

MARISSA STERRETT
TREASURER
6350 BLACK RIDGE VIEW APT 101
COLORADO SPRINGS CO 80924

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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