FORM 1023-EZ for THE SPENCER HAYWOOD FOUNDATION

Field Data
EIN 81-2646532
Case Number EO-2020027-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SPENCER HAYWOOD FOUNDATION
Organization’s Mailing Address 4300 VAL DECHIANA AVENUE
City LAS VEGAS
State NV
ZIP 89141
Accounting period End 12
Primary contact name PATTIE S CHRISTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNELL DESILVA
TRUSTEE/DIRECTOR
7825 EAST STONE CLIFF CIRCLE
MESA AZ 85207

Officer/Director/Trustee Two

WILEY DAVIS
TRUSTEE/DIRECTOR
8100 EAST CAMELBACK ROAD
SCOTTSDALE AZ 85251

Officer/Director/Trustee Three

SPENCER HAYWOOD
TRUSTEE/DIRECTOR
4300 VAL DECHIANA AVENUE
LAS VEGAS NV 89141

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2019
Organization Incorporation State NV
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SPENCER HAYWOOD
Signature Title TRUSTEE/DIRECTOR
Signature Date 1/24/2020

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