FORM 1023-EZ for DRAGONFLY COMMUNITY ALLIANCE

Field Data
EIN 81-4472618
Case Number EO-2017086-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRAGONFLY COMMUNITY ALLIANCE
Organization’s Mailing Address 2144 N NOLAND RD
City SAN SIMON
State AZ
ZIP 85632
Accounting period End 6
Primary contact name REBECCA PHIFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE LARNED
PRESIDENT
2144 N NOLAND RD
SAN SIMON AZ 85632

Officer/Director/Trustee Two

TONY ONTANYON
VICE PRESIDENT
2144 N NOLAND RD
SAN SIMON AZ 85632

Officer/Director/Trustee Three

REBECCA PHIFER
SECRETARY
2144 N NOLAND RD
SAN SIMON AZ 85632

Officer/Director/Trustee Four

MARY SPARKMAN
TREASURER
2144 N NOLAND RD
SAN SIMON AZ 85632

Officer/Director/Trustee Five

SAVANNA VALDEZ
BOARD MEMBER
2144 N NOLAND RD
SAN SIMON AZ 85632

Organization’s website N/A
Organization’s email DRAGONFLYCOMMUNITYALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
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
Signature Title
Signature Date

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