FORM 1023-EZ for ARIZONA CARCINOID NEUROENDOCRINE FOUNDATION INC

Field Data
EIN 47-2117776
Case Number EO-2017062-000457
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARIZONA CARCINOID NEUROENDOCRINE FOUNDATION INC
Organization’s Mailing Address 7702 E DOUBLETREE RANCH RD SUITE300
City SCOTTSDALE
State AZ
ZIP 85258
Accounting period End 12
Primary contact name KEVIN R KEATING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL BLOMBERG
PRESIDENT DIRECTOR
41340 N CLEAR CROSSING COURT
ANTHEM AZ 85086

Officer/Director/Trustee Two

KEVIN KEATING
VICE PRES GEN COUNSEL DIRECTOR
7702 E DOUBLETREE RANCH STE 300
SCOTTSDALE AZ 85258

Officer/Director/Trustee Three

JOHN FINICAL
DIRECTOR
11837 E JUAN TABO ROAD
SCOTTSDALE AZ 85255

Officer/Director/Trustee Four

BONITA JONES
DIRECTOR
414 S LAVEEN DRIVE
CHANDLER AZ 85226

Officer/Director/Trustee Five

JENNIFER ZUNIGA
DIRECTOR
7702 E DOUBLETREE RANCH STE 300
SCOTTSDALE AZ 85258

Organization’s website AZCNF.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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