FORM 1023-EZ for CARRIEDBYFOUR

Field Data
EIN 85-3274479
Case Number EO-2021032-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRIEDBYFOUR
Organization’s Mailing Address 1520 W SELDON WAY
City PHOENIX
State AZ
ZIP 85021
Accounting period End 10
Primary contact name DALLAS HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALLAS HENDERSON
CHIEF EXECUTIVE OFFICER
1520 W SELDON WAY
PHOENIX AZ 85021

Officer/Director/Trustee Two

MARLENA HENDERSON
CHIEF FINANCIAL OFFICER
1520 W SELDON WAY
PHOENIX AZ 85021

Officer/Director/Trustee Three

MICHAEL EVANS
DIRECTOR
303 E SOUTH MOUNTAIN AVE 14
PHOENIX AZ 85042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 DALLAS HENDERSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 11/30/2020

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