FORM 1023-EZ for YUMA ANIMAL PROTECTION AND REPORTING INC

Field Data
EIN 81-2781784
Case Number EO-2016216-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YUMA ANIMAL PROTECTION AND REPORTING INC
Organization’s Mailing Address 2554 W 16TH ST 484
City YUMA
State AZ
ZIP 85364
Accounting period End 2
Primary contact name LAURA MAAS TRESURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN-JEAN CAMPBELL
PRESIDENT/ CHAIRMAN
2554 W 16TH ST 484
YUMA AZ 85364

Officer/Director/Trustee Two

LAURA MAAS
TREASURER / DIRECTOR
2554 W 16TH ST 484
YUMA AZ 85364

Officer/Director/Trustee Three

JENNIFER SELLERS
SECRETARY / DIRECTOR
2554 W 16TH ST 484
YUMA AZ 85364

Officer/Director/Trustee Four

KAREN LONG
SECRETARY / DIRECTOR
2554 W 16TH ST 484
YUMA AZ 85364

Officer/Director/Trustee Five

SHARLEEN KUSMIERZ
VICE PRESIDENT / VICE CHAIRMAN
2554 W 16TH ST 484
YUMA AZ 85364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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