FORM 1023-EZ for ARIZONA FRAG FISH REEF AQUARIUM GROUP

Field Data
EIN 47-4716774
Case Number EO-2015223-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARIZONA FRAG FISH REEF AQUARIUM GROUP
Organization’s Mailing Address 2320 E BASELINE RD STE 148-278
City PHOENIX
State AZ
ZIP 85042-6951
Accounting period End 12
Primary contact name WAYNE SHIPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON FRICK
PRESIDENT
1543 E DAVA DR
TEMPE AZ 85283

Officer/Director/Trustee Two

HUNTER HAMMOND
VICE PRESIDENT
2332 E FRAKTUR RD
PHOENIX AZ 85040

Officer/Director/Trustee Three

MARK HALL
SECRETARY
2521 E TOMAHAWK CT
GILBERT AZ 85298

Officer/Director/Trustee Four

ERIC ZARD
CORRESPONDING SECRETARY
15010 N 10TH AVE
PHOENIX AZ 85023

Officer/Director/Trustee Five

WAYNE SHIPMAN
TREASURER
623 N SUNWAY DR
GILBERT AZ 85233

Organization’s website HTTP://AZFRAGCLUB.COM/
Organization’s email AZFRAGCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
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 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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