FORM 1023-EZ for AR-1 AUXILIARY

Field Data
EIN 90-1006759
Case Number EO-2014297-000625
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AR-1 AUXILIARY
Organization’s Mailing Address 16670 HWY 98
City EMERSON
State AR
ZIP 71740-9002
Accounting period End 12
Primary contact name SARAH SHEPHERD OR JAMES MCCLELLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH SHEPHERD
TRUSTEE
16670 HWY 98
EMERSON AR 71740-9002

Officer/Director/Trustee Two

JAMES MCCLELLAN
TRUSTEE
418 NORTH JEFFERSON ST
MAGNOLIA AR 71753

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2012
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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