FORM 1023-EZ for SOUTH MOUNTAIN VILLAGE CLEAN AND BEAUTIFUL

Field Data
EIN 83-2312032
Case Number EO-2018340-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH MOUNTAIN VILLAGE CLEAN AND BEAUTIFUL
Organization’s Mailing Address 2320 E BASELINE RD STE 148-624
City PHOENIX
State AZ
ZIP 85042
Accounting period End 12
Primary contact name TIM FORSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAY SHEPARD
DIRECTOR/PRESIDENT
2320 E BASELINE RD STE 148-624
PHOENIX AZ 85042

Officer/Director/Trustee Two

CARLIE BACK
DIRECTOR/VICE-PRESIDENT/TREASURER
7401 S 32ND ST
PHOENIX AZ 85042

Officer/Director/Trustee Three

TIM ELDER
DIRECTOR/SECRETARY
8813 S 21ST ST
PHOENIX AZ 85042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 KAY SHEPARD
Signature Title DIRECTOR/PRESIDENT
Signature Date 12/3/18

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