FORM 1023-EZ for ANNIES PLACE

Field Data
EIN 82-0781348
Case Number EO-2017100-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNIES PLACE
Organization’s Mailing Address 1424 BELLA VISTA DR
City SIERRA VISTA
State AZ
ZIP 85635
Accounting period End 10
Primary contact name DENISE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE ANDERSON
EXECUTIVE DIRECTOR
1424 BELLA VISTA DR
SIERRA VISTA AZ 85635

Officer/Director/Trustee Two

RAYMOND WOODS
BOARD MEMBER
16532 120TH AVE SE
RENTON WA 98058

Officer/Director/Trustee Three

LORRAIN MILLER
BOARD MEMBER
1749 FERNDALE RD SE
RENTON WA 98058

Officer/Director/Trustee Four

GABRIEL JOHNSON
BOARD MEMBER
2215 BLOXHAM CUTOFF RD
CRAWFORDVILLE FL 32327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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