FORM 1023-EZ for PHOENIX ASL COMMUNITY

Field Data
EIN 84-2955563
Case Number EO-2019296-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX ASL COMMUNITY
Organization’s Mailing Address 15208 W COLUMBINE DR
City SURPRISE
State AZ
ZIP 85379
Accounting period End 12
Primary contact name TARA GIAMBALVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA GIAMBALVO
DIRECTOR
15208 W COLUMBINE DR
SURPRISE AZ 85379

Officer/Director/Trustee Two

DALE BOALICH
TREASURER
15208 W COLUMBINE DR
SURPRISE AZ 85379

Organization’s website WWW.PHOENIXASLCOMMUNITY.COM
Organization’s email PHOENIXASLCOMMUNITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DALE BOALICH
Signature Title TREASURER
Signature Date 10/21/19

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