FORM 1023-EZ for ARIZONA ANIMAL SANCTUARY INC

Field Data
EIN 46-1195599
Case Number EO-2016039-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARIZONA ANIMAL SANCTUARY INC
Organization’s Mailing Address 8176 N DEADMANS GULCH RD
City FLORENCE
State AZ
ZIP 85132-9698
Accounting period End 12
Primary contact name GAIL CASSIDY-MEHRHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GAIL CASSIDY-MEHRHOFF
DIRECTOR - PRESIDENT
8176 N DEADMANS RD
FLORENCE AZ 85132-9698

Officer/Director/Trustee Two

MARGARET HOSSEINI
DIRECTOR - VICE-PRESIDENT
8275 FM 78
CONVERSE TX 78109

Officer/Director/Trustee Three

ANGELA LOPEZ
SECRETARY
2210 SE 25TH AVE
HOMESTEAD FL 33035

Officer/Director/Trustee Four

MELTON MEHRHOFF
TREASURER
8176 N DEADMANS GULCH RD
FLORENCE AZ 85132-9698

Officer/Director/Trustee Five

NATHAN STALDER
DIRECTOR - CEO
217 N GRANT ST
MARTENSDALE IA 50160

Organization’s website AZANIMALSANCTUARY.COM
Organization’s email AZANIMALSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2012
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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