FORM 1023-EZ for RUSS LYON CHARITABLE FOUNDATION INC

Field Data
EIN 46-5743236
Case Number EO-2016057-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUSS LYON CHARITABLE FOUNDATION INC
Organization’s Mailing Address 1750 S WOODLANDS VILLAGE BLVD SUITE
City FLAGSTAFF
State AZ
ZIP 86001
Accounting period End 12
Primary contact name BRAD HEBETS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD GILLENWATER
PRESIDENT
2432 N TILLIE LANE
FLAGSTAFF AZ 86001

Officer/Director/Trustee Two

BRAD HEBETS
TREASURER
2595 W KILTIE LANE
FLAGSTAFF AZ 86005

Officer/Director/Trustee Three

BOB JUBY
SECRETARY
5801 E ONYX AVENUE
SCOTTSDALE AZ 85253

Officer/Director/Trustee Four

JIM LYON
DIRECTOR
6012 E CALLE DEL PAISANO
SCOTTSDALE AZ 85251

Officer/Director/Trustee Five

TOM LOCATI
DIRECTOR
6288 E RED BIRD CIRCLE
SCOTTSDALE AZ 85266

Organization’s website RUSSLYONFOUNDATION.ORG
Organization’s email INFO@RUSSLYON.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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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