FORM 1023-EZ for VALJEAN SOCIETY

Field Data
EIN 81-1371891
Case Number EO-2018030-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALJEAN SOCIETY
Organization’s Mailing Address 4135 E JICARILLA ST
City PHOENIX
State AZ
ZIP 85044
Accounting period End 11
Primary contact name MICHAEL HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HARRIS
PRESIDENT/CEO
4135 E JICARILLA ST
PHOENIX AZ 85044

Officer/Director/Trustee Two

MICHAEL SHELTON
CHAIRMAN
712 E GENEVA ST
TEMPE AZ 85282

Officer/Director/Trustee Three

MARY ZUMOFF
SECRETARY
1109 E WATSON DR
TEMPE AZ 85282

Officer/Director/Trustee Four

BARBARA KLINDER
TREASURER
29425 N 68TH ST
SCOTTSDALE AZ 85226

Officer/Director/Trustee Five

CARL SCHWARTZ
OTHER
1704 E CAMPUS DR
TEMPE AZ 85282

Organization’s website WWW.VALJEANSOCIETY.ORG
Organization’s email MICHAEL@VALJEANSOCIETY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/15
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 Yes
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 MICHAEL HARRIS
Signature Title PRESIDENT/CEO
Signature Date 1/26/18

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