FORM 1023-EZ for ASOCIACION NICAS EN ARIZONA

Field Data
EIN 83-1130455
Case Number EO-2018340-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASOCIACION NICAS EN ARIZONA
Organization’s Mailing Address 3130 E ROOSEVELT ST
City PHOENIX
State AZ
ZIP 85008
Accounting period End 12
Primary contact name ISMAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELIX ISMAEL
CHAIRMAN
2248 E ISABELLA AVE
MESA AZ 85204

Officer/Director/Trustee Two

CEASAR BUSTAMATE
CEO
3130 E ROOSEVELT ST
PHOENIX AZ 85008

Officer/Director/Trustee Three

JUDITH BLANDON
CFO
3130 E ROOSEVELT ST
PHOENIX AZ 85008

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 FELIX ISMAEL
Signature Title CHAIRMAN
Signature Date 12/3/18

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