FORM 1023-EZ for FOUR C INSPIRE

Field Data
EIN 83-2331393
Case Number EO-2019035-000798
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUR C INSPIRE
Organization’s Mailing Address 311 RUINS ROAD
City AZTEC
State NM
ZIP 87410-1623
Accounting period End 6
Primary contact name CODY STOVALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CODY STOVALL
PRESIDENT
6 RD 25531
AZTEC NM 87410-4640

Officer/Director/Trustee Two

DEON BROWN
VICE-PRESIDENT
3312 N SUNSET AVE
FARMINGTON NM 87401-4151

Officer/Director/Trustee Three

KATHLEEN ERWIN
SECRETARY
317 GILA RD
AZTEC NM 87410-2503

Officer/Director/Trustee Four

STACY OLGUIN
TREASURER
3339 J F SCOTT DR
AZTEC NM 87410-1680

Organization’s website
Organization’s email CODY.STOVALL78@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/18
Organization Incorporation State NM
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: 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 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 CODY STOVALL
Signature Title PRESIDENT
Signature Date 1/13/19

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