| Field | Data |
|---|---|
| EIN | 84-3076394 |
| Case Number | EO-2019326-000447 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DEAFBLIND RETREAT OF ARIZONA |
| Organization’s Mailing Address | 8240 E GELDING DR SUITE 110 |
| City | SCOTTSDALE |
| State | AR |
| ZIP | 85260 |
| Accounting period End | 12 |
| Primary contact name | MARK MELLENGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARK MELLENGER
DIRECTOR
4550 E JANICE WAY
PHOENIX AZ 85032-4829
KELLY BRITTINGHAM
DIRECTOR
10250 E MOUNTAIN VIEW ROAD APT 123
SCOTTSDALE AZ 85258-5303
RICHARD VANOVER
DIRECTOR
2214 S SHANNON DRIVE
TEMPE AZ 85282-3053
| Organization’s website | WWW.DEAFBLINDRAZ.ORG |
|---|---|
| Organization’s email | BOARD@DEAFBLINDRAZ.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/7/19 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | MARK MELLENGER |
| Signature Title | DIRECTOR |
| Signature Date | 11/20/19 |
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