FORM 1023-EZ for XEROCRAFT

Field Data
EIN 45-4604522
Case Number EO-2015281-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XEROCRAFT
Organization’s Mailing Address 101 W 6TH STREET
City TUCSON
State AZ
ZIP 85701-1000
Accounting period End 12
Primary contact name DALE TERSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNOR BARICKMAN
PRESIDENT
1001 E NAVAJO ROAD
TUCSON AZ 85719-2134

Officer/Director/Trustee Two

DAVID LESSER
VICE-PRESIDENT
2749 E 5TH STREET
TUCSON AZ 85716-4431

Officer/Director/Trustee Three

DALE TERSEY
SECRETARY
3227 E GLENN STREET
TUCSON AZ 85716-2238

Officer/Director/Trustee Four

JEREMY BRIDDLE
TREASURER
1111 W ST MARYS ROAD APT 1125
TUCSON AZ 85745-2483

Officer/Director/Trustee Five

YASUKO BANNO
DIRECTOR
1001 E NAVAJO ROAD
TUCSON AZ 85719-2134

Organization’s website WWW.XEROCRAFT.ORG
Organization’s email INFO@XEROCRAFT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2012
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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