FORM 1023-EZ for PAYANT FAMILY FOUNDATION INC

Field Data
EIN 82-1165878
Case Number EO-2017145-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAYANT FAMILY FOUNDATION INC
Organization’s Mailing Address 7318 E PALO VERDE DRIVE NO 7
City SCOTTSDALE
State AZ
ZIP 85250
Accounting period End 12
Primary contact name W RANDALL PAYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

W RANDALL PAYANT
DIRECTOR, CEO
7318 E PALO VERDE DRIVE NO 7
SCOTTSDALE AZ 85250

Officer/Director/Trustee Two

NANCY A MIDDLEMAS
DIRECTOR, COO
20375 N 269TH DRIVE
BUCKEYE AZ 85396

Officer/Director/Trustee Three

SCOTT D PAYANT
DIRECTOR, CFO
3711 MARIPOSA STREET
DENVER CO 80211

Officer/Director/Trustee Four

CINDY PAYANT
DIRECTOR, CCMO
10011 STONELAKE BLVD APT 331
AUSTIN TX 78759

Officer/Director/Trustee Five

WILLIAM H PAYANT
DIRECTOR
14515 GRANITE VALLEY DRIVE
SUN CITY WEST AZ 85375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 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
Signature Title
Signature Date

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