FORM 1023-EZ for ARIZONA PHYSICAL THERAPY ASSOCIATION SCHOLARSHIP AWARDS COMMITTEE

Field Data
EIN 84-2738766
Case Number EO-2019231-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA PHYSICAL THERAPY ASSOCIATION SCHOLARSHIP AWARDS COMMITTEE
Organization’s Mailing Address 861 E EUCLID AVENUE
City GILBERT
State AZ
ZIP 85297
Accounting period End 12
Primary contact name CAROLYN SECHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HEICK
PRESIDENT
861 E EUCLID AVE
GILBERT AZ 85297

Officer/Director/Trustee Two

BRIAN SCHMITZ
SECRETARY
861 E EUCLID AVE
GILBERT AZ 85297

Officer/Director/Trustee Three

CHRISTA LOMBARDO
DIRECTOR
861 E EUCLID AVE
GILBERT AZ 85297

Organization’s website N/A
Organization’s email CHRISTA@APTAAZ.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 JOHN HEICK
Signature Title PRESIDENT
Signature Date 8/15/19

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