FORM 1023-EZ for THE SERAFIN PHOENIX FOUNDATION

Field Data
EIN 85-3157597
Case Number EO-2020297-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SERAFIN PHOENIX FOUNDATION
Organization’s Mailing Address 10954 W SHERIDAN ST
City AVONDALE
State AZ
ZIP 85392
Accounting period End 12
Primary contact name NIKELA PARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY DAVIS
PRESIDENT/DIRECTOR
10903 W CAMBRIDGE
AVONDALE AZ 85392

Officer/Director/Trustee Two

NIKELA PARKS
CHIEF EXECUTIVE OFFICER/DIRECTOR
10954 W SHERIDAN ST
AVONDALE AZ 85392

Officer/Director/Trustee Three

JENNY COOMLER
VICE PRESIDENT/DIRECTOR
6920 E MESA GRANDE DRIVE
TUCSON AZ 85715

Officer/Director/Trustee Four

KELLY MATTUIZ
TREASURER/DIRECTOR
3445 N 301ST DRIVE
BUCKEYE AZ 85396

Officer/Director/Trustee Five

MAIRIN HERSHIK
SECRETARY/DIRECTOR
4457 E ROLLINS RD UNIT 2
TUCSON AZ 85739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 Yes
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 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 NIKELA PARKS
Signature Title CHIEF EXECUTIVE OFFICER/DIRECTOR
Signature Date 10/20/2020

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