FORM 1023-EZ for FLOATERS FOUNDATION

Field Data
EIN 47-3172967
Case Number EO-2015096-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLOATERS FOUNDATION
Organization’s Mailing Address PO BOX 4751
City MESA
State AZ
ZIP 85211
Accounting period End 1
Primary contact name VINTON GLISSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLADYS CAQUIMBO
PRESIDENT
6161 EAST IVYGLEN STREEET
MESA AZ 85205-3693

Officer/Director/Trustee Two

VINTON GLISSON
VICE-PRESIDENT
143 SOUTH MOUNTAIN VIEW ROAD
APACHE JUNCTION AZ 85119-9862

Officer/Director/Trustee Three

SANDRA SUTTON-ANDREWS
DIRECTOR OF RESEARCH
440 WEST FIRST STREET
MESA AZ 85201-6536

Officer/Director/Trustee Four

HOLLY AVERY-TRUXELL
DIRECTOR - PUBLIC RELATIONS
15832 NORTH 62ND STREET
SCOTTSDALE AZ 85254-1988

Officer/Director/Trustee Five

SUSAN BERNSTEIN
DIRECTOR - TREASURER
12860 THE LONG ROAD
PIMA AZ 85543-9688

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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