FORM 1023-EZ for NORTHERN ARIZONA MINISTRY

Field Data
EIN 83-4613160
Case Number EO-2019261-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN ARIZONA MINISTRY
Organization’s Mailing Address 1447 W VALLEY DR
City WILLIAMS
State AZ
ZIP 86046
Accounting period End 12
Primary contact name JUSTIN WAYNE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN WAYNE HILL
BOARD PRESIDENT
1447 W VALLEY DR
WILLIAMS AZ 86046

Officer/Director/Trustee Two

DAVE COX
BOARD MEMBER
213 LEWIS AVE
ASH FORK AZ 86320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 JUSTIN WAYNE HILL
Signature Title BOARD PRESIDENT
Signature Date 9/16/19

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