FORM 1023-EZ for FA3C

Field Data
EIN 84-2315893
Case Number EO-2019191-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FA3C
Organization’s Mailing Address 4615 NORTHPARK DRIVE STE 200
City COLORADO SPRINGS
State CO
ZIP 80918
Accounting period End 12
Primary contact name JASON LUPO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON LUPO
EXECUTIVE DIRECTOR
4615 NORTHPARK DRIVE STE 200
COLORADO SPRINGS CO 80918

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JASON LUPO
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/8/19

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