FORM 1023-EZ for KIZER FTD AWARENESS FOUNDATION

Field Data
EIN 47-2034909
Case Number EO-2014294-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIZER FTD AWARENESS FOUNDATION
Organization’s Mailing Address 1001 EAST JEFFERSON STREET SUITE 6
City PHOENIX
State AZ
ZIP 85034-2206
Accounting period End 12
Primary contact name JOYA KIZER CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOYA CLARKE
PRESIDENT
1001 EAST JEFFERSON STREET SUITE 6
PHOENIX AZ 85034-2206

Officer/Director/Trustee Two

NICOLAS KIZER
VICE-PRESIDENT
336 EAST ALVARADO STREET
PHOENIX AZ 85004-1405

Officer/Director/Trustee Three

AARON KIZER
SECRETARY TREASURER
6248 NORTH 4TH DRIVE
PHOENIX AZ 85013-1303

Officer/Director/Trustee Four

ROSE MARIE DURAN LOPEZ
DIRECTOR
1133 EAST MILADA DRIVE
PHOENIX AZ 85042-7863

Officer/Director/Trustee Five

KELLY HALE
DIRECTOR
1124 WEST EDGEMONT AVENUE
PHOENIX AZ 85007-1115

Organization’s website WWW.HEARTANDSOL.ORG
Organization’s email JOYA@CASAUNLTD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 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 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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