FORM 1023-EZ for CHAMP FOUNDATION

Field Data
EIN 30-1001013
Case Number EO-2017321-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMP FOUNDATION
Organization’s Mailing Address PO BOX 750
City CORTARO
State AZ
ZIP 85652-0750
Accounting period End 7
Primary contact name MATTHEW GRIFFIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW W GRIFFIS
PRESIDENT
7620 N CASIMIR PULASKI AVE
TUCSON AZ 85741

Officer/Director/Trustee Two

JOSEPH E ROBERTS
VICE PRESIDENT
6501 E CALLE LA PAZ
TUCSON AZ 85715

Officer/Director/Trustee Three

ELIZABETH M CARO-SCARFO
SECRETARY
1917 W HORN MESA PLACE
TUCSON AZ 85713

Officer/Director/Trustee Four

DANIEL W ASHLEY
TREASURER
1324 E FORGE AVENUE
MESA AZ 85204

Officer/Director/Trustee Five

ROGER G BEDELL
PURCHASING AGENT
4533 N GRIZZLY SPRINGS DRIVE
TUCSON AZ 85745

Organization’s website WWW.CHAMPFOUNDATION.ORG
Organization’s email AZCHAMPFOUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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