FORM 1023-EZ for NORTHERN AZ ANIMAL SEARCH AND RESCUE

Field Data
EIN 84-4743593
Case Number EO-2020101-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN AZ ANIMAL SEARCH AND RESCUE
Organization’s Mailing Address 6715 MARIAH DR
City FLAGSTAFF
State AZ
ZIP 86004
Accounting period End 12
Primary contact name TERESA SCHUMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA SCHUMANN
PRESIDENT/DIRECTOR
6715 MARIAH DR
FLAGSTAFF AZ 86004

Officer/Director/Trustee Two

DUSTY BRINKWORTH
TREASURER/DIRECTOR
6761 N ISABELLA
WILLIAMS AZ 86046

Officer/Director/Trustee Three

CAMERON BONITTO
SECRETARY
10820 BROWN BEAR RD
FLAGSTAFF AZ 86004

Organization’s website
Organization’s email DAZED_CONFUSED2010@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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 Yes
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 TERESA SCHUMANN
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/8/2020

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