FORM 1023-EZ for TEEN DREAM BUILDERS CLUB AND CREATIVE LEARNING CENTER

Field Data
EIN 47-3027414
Case Number EO-2015044-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEEN DREAM BUILDERS CLUB AND CREATIVE LEARNING CENTER
Organization’s Mailing Address 1300 S WATSON RD BLDG A114-250
City BUCKEYE
State AZ
ZIP 85326
Accounting period End 12
Primary contact name CYNTHIA MCBREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNTHIA MCBREEN
PRESIDENT, DIRECTOR
20986 W COURT ST
BUCKEYE AZ 85396

Officer/Director/Trustee Two

DONA HOEKSTRA
SECRETARY, DIRECTOR
17617 N 9TH ST APT 3128
PHOENIX AZ 85022

Officer/Director/Trustee Three

PHIL SANGER
TREASURER, DIRECTOR
8464 N BERRIDGE LN
GLENDALE AZ 85305

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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
Signature Title
Signature Date

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