FORM 1023-EZ for ARIZONA VETERINARY MEDICAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 86-0988887 |
| Case Number | EO-2020209-000814 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ARIZONA VETERINARY MEDICAL FOUNDATION |
| Organization’s Mailing Address | 100 W COOLIDGE STREET |
| City | PHOENIX |
| State | AZ |
| ZIP | 85013 |
| Accounting period End | 12 |
| Primary contact name | ELLIS M CARTER ESQ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL SORUM DVM
PRESIDENT DIRECTOR
28150 N ALMA SCHOOL PKWY STE 282
SCOTTSDALE AZ 85262
Officer/Director/Trustee Two
JOHN SAMUELSON DVM
DIRECTOR
539 E GLENDALE AVENUE
PHOENIX AZ 85020
Officer/Director/Trustee Three
KARA THOMAS DVM
DIRECTOR
5715 W UTOPIA ROAD
GLENDALE AZ 85308
Officer/Director/Trustee Four
MELISSA RIENSCHE DVM
DIRECTOR
86 W JUNIPER AVENUE
GILBERT AZ 85233
Officer/Director/Trustee Five
EMILY KANE
EXECUTIVE DIRECTOR
100 W COOLIDGE STREET
PHOENIX AZ 85013
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/6/2000 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D20 - Animal Protection and Welfare |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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 | EMILY KANE |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 7/21/2020 |
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