FORM 1023-EZ for FORGOTTEN VICTIM SERVIES

Field Data
EIN 86-2462308
Case Number EO-2021102-000854
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORGOTTEN VICTIM SERVIES
Organization’s Mailing Address 19829 N 35TH STREET
City PHOENIX
State AZ
ZIP 85050
Accounting period End 12
Primary contact name KATIE FISCINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE FISCINA
DIRECTOR
19829 N 35TH ST
PHOENIX AZ 85050

Officer/Director/Trustee Two

SHEMIA CASTILLO
DIRECTOR
425 E SADDLE WAY
SAN TAN AZ 85143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 KATIE FISCINA
Signature Title DIRECTOR
Signature Date 4/2/2021

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