FORM 1023-EZ for FUNDRAISING WITH 5KS

Field Data
EIN 81-3569351
Case Number EO-2017009-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUNDRAISING WITH 5KS
Organization’s Mailing Address 3842 STREAM DRIVE
City MELB
State FL
ZIP 32940
Accounting period End 12
Primary contact name CHASE CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHASE CHAVEZ
PRESIDENT, FOUNDER
3842 STREAM DRIVE
MELBOURNE FL 32940

Officer/Director/Trustee Two

TIMOTHY DO
MARKETING DIRECTOR, PUBLIC RELATION
6015 TRIEDA DRIVE
VIERA FL 32940

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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