FORM 1023-EZ for PALO VERDE OUTREACH

Field Data
EIN 47-5680514
Case Number EO-2016070-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALO VERDE OUTREACH
Organization’s Mailing Address 12420 E DOUBLETREE RANCH RD
City SCOTTSDALE
State AZ
ZIP 85259-6110
Accounting period End 12
Primary contact name JOAN LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOAN LANG
DIRECTOR
12420 E DOUBLETREE RANCH RD
SCOTTSDALE AZ 85259-6110

Officer/Director/Trustee Two

HONEY LEVIN
DIRECTOR
11179 E DESERT VISTA DR
SCOTTSDALE AZ 85255-8063

Officer/Director/Trustee Three

LORALEE DESANTO
DIRECTOR
7175 E CAMELBACK RD
SCOTTSDALE AZ 85251-1684

Officer/Director/Trustee Four

COLLEEN GOODRICH
DIRECTOR
35380 N 92ND PLACE
SCOTTSDALE AZ 85262-1117

Officer/Director/Trustee Five

JEANNE JOHNSON
DIRECTOR
10068 E CINNABAR
SCOTTSDALE AZ 85258-4201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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