FORM 1023-EZ for EXCEPTIONAL PALLIATIVE CARE OF ARIZONA INC

Field Data
EIN 83-1583929
Case Number EO-2018324-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCEPTIONAL PALLIATIVE CARE OF ARIZONA INC
Organization’s Mailing Address 135 W SAN REMO ST
City GILBERT
State AZ
ZIP 85233
Accounting period End 12
Primary contact name KENT LINGAFELTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENT LINGAFELTER
BOARD CHAIRMAN
135 W SAN REMO ST
GILBERT AZ 85233

Officer/Director/Trustee Two

DIANE KING
BOARD MEMBER
5226 N 20TH ST UNIT C9
PHOENIX AZ 85016

Officer/Director/Trustee Three

EMINA LUBOVAC
BOARD MEMBER
5783 W FREEWAY LANE
GLENDALE AZ 85302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 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 KENT LINGAFELTER
Signature Title BOARD CHAIRMAN
Signature Date 11/18/18

Recently Saved Organizations

Click on the save icon from a search results or organization page.