FORM 1023-EZ for E3 AZ FOUNDATION INC

Field Data
EIN 83-2268977
Case Number EO-2019066-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name E3 AZ FOUNDATION INC
Organization’s Mailing Address 13862 W FARGO DR
City SURPRISE
State AZ
ZIP 85374-5351
Accounting period End 12
Primary contact name AMBER ILLESCAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER ILLESCAS
DIRECTOR, PRESIDENT, TREASURER
13862 W FARGO DR
SURPRISE AZ 85374-5351

Officer/Director/Trustee Two

MARVIN ILLESCAS ORTIZ
DIRECTOR, SECRETARY
13862 W FARGO DR
SURPRISE AZ 85374-5351

Officer/Director/Trustee Three

MONICA PINEDA
DIRECTOR
13862 W FARGO DR
SURPRISE AZ 85374-5351

Organization’s website WWW.E3AZ.ORG
Organization’s email E3AZORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 AMBER ILLESCAS
Signature Title DIRECTOR, PRESIDENT, TREASURER
Signature Date 3/5/19

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