FORM 1023-EZ for FOURTH AVENUE FOUNDATION INC

Field Data
EIN 83-3026884
Case Number EO-2019031-000782
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOURTH AVENUE FOUNDATION INC
Organization’s Mailing Address 434 E 9TH STREET
City TUCSON
State AZ
ZIP 85705
Accounting period End 12
Primary contact name LARRY KENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MATLICK
PRESIDENT
434 E 9TH STREET
TUCSON AZ 85705

Officer/Director/Trustee Two

DONNA DIFIORE
VICE PRESIDENT
533 N 4TH AVENEUE
TUCSON AZ 85705

Officer/Director/Trustee Three

BRUCE HUNGATE
TREASURER
501 N 4TH AVENUE
TUCSON AZ 85705

Officer/Director/Trustee Four

LIZZY MEAD
SECRETARY
330 N 4TH AVENUE
TUCSON AZ 85705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 DANIEL MATLICK
Signature Title PRESIDENT
Signature Date 1/7/19

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