FORM 1023-EZ for PROJECT ENCORE AZ

Field Data
EIN 81-1137651
Case Number EO-2019322-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT ENCORE AZ
Organization’s Mailing Address 916 VERDE DRIVE
City SIERRA VISTA
State AZ
ZIP 85635
Accounting period End 12
Primary contact name JENNIFER DORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER DORRIS
EXECUTIVE DIRECTOR
916 VERDE DRIVE
SIERRA VISTA AZ 85635

Officer/Director/Trustee Two

LAURA STOLTZMAN
TREASURER
2099 SANTA TERESA DRIVE
SIERRA VISTA AZ 85635

Officer/Director/Trustee Three

JACKIE PIGMAN
SECRETARY
5750 S ALMA LANE
HEREFORD AZ 85615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/16
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: No
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 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 JENNIFER DORRIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/14/19

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