FORM 1023-EZ for COMMUNITY CHAMBER OF COMMERCE

Field Data
EIN 84-3010080
Case Number EO-2020055-000667
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY CHAMBER OF COMMERCE
Organization’s Mailing Address 15331 W BELL RD 212
City SURPRISE
State AZ
ZIP 85374
Accounting period End 12
Primary contact name RAOUL SADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAOUL SADA
PRESIDENT
15331 W BELL RD 212
SURPRISE AZ 85374

Officer/Director/Trustee Two

CHANCE MIKOS
CHAIR OF THE BOARD
17235 N 75 AVE F
GLENDALE AZ 85027

Officer/Director/Trustee Three

TAYLOR HAUGHT
SECRETARY AND TREASURER
12007 W PEORIA AVE
EL MIRAGE AZ 85335

Officer/Director/Trustee Four

SCOTT PHILLIPS
PAST CHAIR
11811 N TATUM BLVD 4052
PHOENIX AZ 85028

Officer/Director/Trustee Five

ZACH MUSHKATEL
AT-LARGE BOARD MEMBER
15249 N 99TH AVE A
SUN CITY AZ 85351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 RAOUL SADA
Signature Title PRESIDENT
Signature Date 2/21/2020

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