FORM 1023-EZ for DYSART COMMUNITY COALITION

Field Data
EIN 84-2620956
Case Number EO-2020045-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DYSART COMMUNITY COALITION
Organization’s Mailing Address 12701 N MAIN ST
City EL MIRAGE
State AZ
ZIP 85335
Accounting period End 6
Primary contact name JAYME GILLEN-WEISMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYME GILLEN-WEISMANN
PRESIDENT
16563 N 152ND AVE
SURPRISE AZ 85374

Officer/Director/Trustee Two

LISA FOWLER
VICE PRESIDENT
15815 W CORTEZ ST
SURPRISE AZ 85379

Officer/Director/Trustee Three

JOSHUA SWARTZ
TREASURER
13370 W FOXFIRE DR STE 204B
SURPRISE AZ 85378

Organization’s website WWW.DYSARTCOMMUNITYCOALITION.COM
Organization’s email DYSARTCOMMUNITYCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 LISA FOWLER
Signature Title VICE PRESIDENT
Signature Date 2/11/2020

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