FORM 1023-EZ for FOUR COUNTY CONFERENCE ON DEVELOPMENT DISABILITIES

Field Data
EIN 86-0417025
Case Number EO-2017139-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR COUNTY CONFERENCE ON DEVELOPMENT DISABILITIES
Organization’s Mailing Address PO BOX 3262
City PRESCOTT
State AZ
ZIP 86302
Accounting period End 9
Primary contact name SUE MARSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN SIMMONS
PRESIDENT
325 N ARIZONA ST
PRESCOTT AZ 86301

Officer/Director/Trustee Two

ROBERT WILSON
SEC TREA
PO BOX 3262
PRESCOTT AZ 86302

Officer/Director/Trustee Three

SUE MARSH
EXEC, DIRECTOR
PO BOX 3262
PRESCOTT AZ 86302

Organization’s website
Organization’s email 4CCDD@COMMSPEED.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/1981
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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