FORM 1023-EZ for DAVID ELLEFSON YOUTH MUSIC FOUNDATION INC

Field Data
EIN 83-2910872
Case Number EO-2019031-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID ELLEFSON YOUTH MUSIC FOUNDATION INC
Organization’s Mailing Address 12164 EAST SAHUARO
City SCOTTSDALE
State AZ
ZIP 85259-4210
Accounting period End 12
Primary contact name DAVID ELLEFSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ELLEFSON
PRESIDENT, DIRECTOR
12164 EAST SAHUARO
SCOTTSDALE AZ 85259-4210

Officer/Director/Trustee Two

THOMAS HAZAERT
DIRECTOR
309 SIMONET
GREEN BAY WI 54301-1830

Officer/Director/Trustee Three

DONALD SCHOENROCK
DIRECTOR
608 2ND STREET
JACKSON MN 56143-1646

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID ELLEFSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/2/19

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