FORM 1023-EZ for RESOURCES AND SERVICES FOR INDIVIDUALS WITH OR WITHOUT DISABILITIES

Field Data
EIN 84-2664393
Case Number EO-2019224-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESOURCES AND SERVICES FOR INDIVIDUALS WITH OR WITHOUT DISABILITIES
Organization’s Mailing Address 1350 W CENTER ST
City CHINO VALLEY
State AZ
ZIP 86323
Accounting period End 12
Primary contact name ALEX HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX HARRIS
PRESIDENT/CEO
1350 W CENTER ST
CHINO VALLEY AZ 86323

Officer/Director/Trustee Two

LILLIAN SUE MARSH
SECRETARY
1350 W CENTER ST
CHINO VALLEY AZ 86323

Officer/Director/Trustee Three

ROBERT WILSON
TREASURER
1350 W CENTER ST
CHINO VALLEY AZ 86323

Officer/Director/Trustee Four

KEVIN MCCARTHY
DIRECTOR
1350 W CENTER ST
CHINO VALLEY AZ AZ 86323

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 ALEX HARRIS
Signature Title PRESIDENT/CEO
Signature Date 8/8/19

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