FORM 1023-EZ for ARIZONA OBESITY ORGANIZATION

Field Data
EIN 84-2524149
Case Number EO-2020041-000669
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA OBESITY ORGANIZATION
Organization’s Mailing Address 940 PINEWOOD BLVD
City MUNDS PARK
State AZ
ZIP 86017
Accounting period End 12
Primary contact name AMY INGERSOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY INGERSOLL
PRESIDENT
3031 N 17TH DR
PHOENIX AZ 85015

Officer/Director/Trustee Two

ANGELA GOLDEN
SECRETARY
940 PINEWOOD BLVD
MUNDS PARK AZ 86017

Officer/Director/Trustee Three

DANIELLE GILLIAM
DIRECTOR AT LARGE
6650 S NASH WAY
CHANDLERS AZ 85249

Officer/Director/Trustee Four

JOHN DEGUZMAN
VICE PRESDIENT
5612 N 22ND STREET
PHOENIX AZ 85016

Officer/Director/Trustee Five

AMIT ALGOTAR
TREASURER
3950 S COUNTRY CLUB RD 130
TUSCON AZ 85743

Organization’s website ARIZONAOBESITY.ORG
Organization’s email AOOPRESIDENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 AMY INGERSOLL
Signature Title PRESIDENT
Signature Date 2/8/2020

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