FORM 1023-EZ for APACHE COUNTY ATV INC

Field Data
EIN 47-1042891
Case Number EO-2014322-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APACHE COUNTY ATV INC
Organization’s Mailing Address 136 S BURK ST
City EAGAR
State AZ
ZIP 85925
Accounting period End 12
Primary contact name ALLEN BROWNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEL SCHWEIGERT
PRESIDENT
PO BOX 993
SPRINGERVILLE AZ 85938

Officer/Director/Trustee Two

DEBBIE WILLIAMS
SECRETARY
PO BOX 1047
SPRINGERVILLE AZ 85938

Officer/Director/Trustee Three

JAN NORQUIST
TREASURER
1343 ELK CREST WAY
EAGAR AZ 85925

Officer/Director/Trustee Four

KAREN HOGAN
DIRECTOR
326 N UDALL
EAGAR AZ 85925

Officer/Director/Trustee Five

DORLENE MALOY
DIRECTOR
89 E 8TH STREET
EAGAR AZ 85925

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
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 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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