FORM 1023-EZ for SOUTHERN ARIZONA MUSICIANS FOR HEALING

Field Data
EIN 84-2644748
Case Number EO-2019288-000568
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN ARIZONA MUSICIANS FOR HEALING
Organization’s Mailing Address 10921 E MONUMENT ESTATES CIRCLE
City TUCSON
State AZ
ZIP 85748
Accounting period End 12
Primary contact name MARK LACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK LACY
CEO
10921 E MONUMENT ESTATES CIRCLE
TUCSON AZ 85748

Officer/Director/Trustee Two

KENNETH FORDHAM
PRESIDENT
6655 N CANYON CREST DR UNIT 9152
TUCSON AZ 85750

Officer/Director/Trustee Three

DEBORAH POWER
1ST VICE PRESIDENT
4643 E VIA AZUFRE
TUCSON AZ 85712

Officer/Director/Trustee Four

BILLIE MOYLE
SECRETARY
10550 E OLD SPANISH TRAIL
TUCSON AZ 85748

Officer/Director/Trustee Five

JANET YATES FRENCH
TREASURER
5630 E BINGHAMPTON DR
TUCSON AZ 85712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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 MARK LACY
Signature Title CEO
Signature Date 10/13/19

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