FORM 1023-EZ for A & W BOLYARD FOUNDATION

Field Data
EIN 87-2340036
Case Number EO-2021272-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A & W BOLYARD FOUNDATION
Organization’s Mailing Address 2833 E MALLORY ST
City MESA
State AZ
ZIP 85213-1668
Accounting period End 12
Primary contact name ANGELA BOLYARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

J WESLEY BOLYARD
DIRECTOR
2833 E MALLORY ST
MESA AZ 85213-1668

Officer/Director/Trustee Two

ANGELA BOLYARD
DIRECTOR
2833 E MALLORY ST
MESA AZ 85213-1668

Organization’s website AWBOLYARDFOUNDATION.ORG
Organization’s email INFO@AWBOLYARDFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ANGELA BOLYARD
Signature Title DIRECTOR
Signature Date 9/28/2021

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