FORM 1023-EZ for FANT CITY FOUNDATION

Field Data
EIN 68-0568552
Case Number EO-2015050-000014
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FANT CITY FOUNDATION
Organization’s Mailing Address PO BOX 511
City BUCKEYE
State AZ
ZIP 85326
Accounting period End 6
Primary contact name SHIRLENE FANT RAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLENE FANT RAND
PRESIDENT
P O BOX 511
BUCKEYE AZ 85326

Officer/Director/Trustee Two

NEIL RAND
SECRETARY-TREASURER
P O BOX 511
BUCKEYE AZ 85326

Officer/Director/Trustee Three

SHIRLEY SHEFFIELD
DIRECTOR
P O BOX 511
BUCKEYE AZ 85326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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