FORM 1023-EZ for CHAYAH MINISTRIES OF ARIZONA

Field Data
EIN 47-2059360
Case Number EO-2014303-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAYAH MINISTRIES OF ARIZONA
Organization’s Mailing Address PO BOX 87184
City PHOENIX
State AZ
ZIP 85080-7184
Accounting period End 12
Primary contact name ROBERT POUCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT POUCHER
PRESIDENT
37879 NORTH 10TH STREET
DESERT HILLS AZ 85086-9306

Officer/Director/Trustee Two

VIOLET TODD
VICE PRESIDENT/TREASURER
15761 NORTH 78TH LANE
PEORIA AZ 85382-3855

Officer/Director/Trustee Three

JESSICA JAFFE
SECRETARY
3038 WEST BLACKHAWK DRIVE
PHOENIX AZ 85027-3120

Officer/Director/Trustee Four

LITA JOHNSON
DIRECTOR
8036 NORTH 6TH STREET
PHOENIX AZ 85020-3611

Officer/Director/Trustee Five

WILLIAM THOMPSON
DIRECTOR
7608 WEST MCRAE WAY
GLENDALE AZ 85308-5943

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2000
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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