FORM 1023-EZ for NORTHERN ARIZONA ANIMAL ASSISTANCECORP

Field Data
EIN 84-3243706
Case Number EO-2020013-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN ARIZONA ANIMAL ASSISTANCECORP
Organization’s Mailing Address 7150 W CATHEDRAL VALLEY RD
City ASH FORK
State AZ
ZIP 86320
Accounting period End 12
Primary contact name DANIEL ADKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL ADKINS
DIRECTOR
7150 W CATHEDRAL VALLEY RD
ASH FORK AZ 86320

Officer/Director/Trustee Two

LINDA CHRISTIE
DIRECTOR
44124 DEER END RD
ASH FORK AZ 86320

Officer/Director/Trustee Three

CHRISTOPHER LEE
DIRECTOR
214 E MESQUITE ST
HUMA AZ 85364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
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: No
Religious: No
Educational: No
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 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 DANIEL ADKINS
Signature Title DIRECTOR
Signature Date 1/9/2020

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