FORM 1023-EZ for NORTHERN ARIZONA ANIMAL WELFARE COALITION

Field Data
EIN 83-4412755
Case Number EO-2019190-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN ARIZONA ANIMAL WELFARE COALITION
Organization’s Mailing Address 673 S SANTA FE TRAIL
City CORNVILLE
State AZ
ZIP 86325
Accounting period End 12
Primary contact name REBECCA POLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA POLING
PRESIDENT
673 S SANTA FE TRAIL
CORNVILLE AZ 86325

Officer/Director/Trustee Two

JACQUIE RANDALL
VICE PRESIDENT
45 MOONLIGHT CIRCLE
SEDONA AZ 86325

Officer/Director/Trustee Three

JO PAGE
SECRETARY
1380 SOUTH MOUNTAIN VIEW ROAD
CORNVILLE AZ 86325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D03 - Professional Societies, Associations
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 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 REBECCA POLING
Signature Title PRESIDENT
Signature Date 7/4/19

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