FORM 1023-EZ for HAVASU FREEDOM FOUNDATION

Field Data
EIN 26-1641208
Case Number EO-2019094-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVASU FREEDOM FOUNDATION
Organization’s Mailing Address 314 LONDON BRIDGE RD
City LAKE HAVASU CITY
State AZ
ZIP 86403
Accounting period End 12
Primary contact name GARY MEYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY MEYERS
V PRESIDENT
1351 LONDON BRIDGE RD UNIT 8
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Two

TERRANCE LAUFER
PRESIDENT
2697 SOUTHWIND PL
LAKE HAVASU CITY AZ 86406

Officer/Director/Trustee Three

VIVIAN BRYSON
TREASURER
2029 W ACOMA BLVD STE E
LAKE HAVASU CITY AZ 86403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/07
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GARY MEYERS
Signature Title V PRESIDENT
Signature Date 4/2/19

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