FORM 1023-EZ for LUCKY SEVAN FOUNDATION INC

Field Data
EIN 81-3469619
Case Number EO-2016229-000030
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCKY SEVAN FOUNDATION INC
Organization’s Mailing Address 2129 E WARNER RD STE 101
City TEMPE
State AZ
ZIP 85284-3491
Accounting period End 6
Primary contact name TODD W SKINNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN ROGERS
PRESIDENT/BOARD CHAIR
2129 E WARNER RD STE 101
TEMPE AZ 85284-3491

Officer/Director/Trustee Two

PAUL MILLER
VICE-PRESIDENT/BOARD MEMBER
2129 E WARNER RD STE 101
TEMPE AZ 85284-3491

Officer/Director/Trustee Three

TODD SKINNER
SEC/TREAS/BOARD MEMBER
2129 E WARNER RD STE 101
TEMPE AZ 85284-3491

Organization’s website
Organization’s email TODD@SKINNER.CO
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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