FORM 1023-EZ for SURPRISE YOUTH FOUNDATION

Field Data
EIN 81-3264327
Case Number EO-2017023-000449
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURPRISE YOUTH FOUNDATION
Organization’s Mailing Address 17374 N RAINBOW CIRCLE
City SURPRISE
State AZ
ZIP 85374
Accounting period End 12
Primary contact name JAMES CONNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CONNER
PRESIDENT
17374 N RAINBOW CIRCLE
SURPRISE AZ 85374

Officer/Director/Trustee Two

KENNETH JOHANSON
VICE PRESIDENT
17724 N SHAWNEE TRAIL
SURPRISE AZ 85374

Officer/Director/Trustee Three

LISA GILL
TREASURER
19432 N RH JOHNSON BOULEVARD
SUN CITY WEST AZ 85375

Officer/Director/Trustee Four

PATRICIA BATES
SECRETARY
14300 W BELL ROAD UNIT 214
SURPRISE AZ 85374

Officer/Director/Trustee Five

MARK HARPUR
DIRECTOR AT LARGE
15148 W ELKO DRIVE
SURPRISE AZ 85374

Organization’s website HTTP://SURPRISEYOUTH.ORG/
Organization’s email SURPRISEYOUTHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
One Third Support Gifts No
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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