FORM 1023-EZ for COMMUNITY SUPPORTED SHELTERS TUCSONINC

Field Data
EIN 47-3055258
Case Number EO-2015042-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY SUPPORTED SHELTERS TUCSONINC
Organization’s Mailing Address 609 W MESA ST
City TUCSON
State AZ
ZIP 85701-8204
Accounting period End 12
Primary contact name GARY HAMMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

J MICHELE REAM
DIR PRES TREAS
609 W MESA ST
TUCSON AZ 85701-8204

Officer/Director/Trustee Two

GARY HAMMOND
DIR VP SEC
37473 S STONEY CLIFF DR
TUCSON AZ 85739-1404

Officer/Director/Trustee Three

BRANDON DAVIS
DIR VP
5917 E 4TH ST
TUCSON AZ 85711-1505

Organization’s website WWW.CSSTUCSON.COM
Organization’s email HOMELESSHUTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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
Signature Title
Signature Date

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