FORM 1023-EZ for NORTHERN AZ LENDING CLOSET

Field Data
EIN 82-4185201
Case Number EO-2018031-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN AZ LENDING CLOSET
Organization’s Mailing Address 1158 W VALLEY CIRCLE BOX 482
City ASH FORK
State AZ
ZIP 86320
Accounting period End 10
Primary contact name GAIL MESERVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL MESERVE
DIRECTOR
1158W VALLEY CIRCLE BOX 482
ASH FORK AZ 86320-482

Officer/Director/Trustee Two

LAURIE BYRD
MEDICAL ADVISOR
1121 W WOODLAND DR BOX 580
ASH FORK AZ 86320-580

Officer/Director/Trustee Three

MARISA CARDY
INTERPRETOR
195 W LUDLAM LN BOX 113
ASH FORK AZ 86320-113

Organization’s website NORTHERAZMEDICALEQUIP.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 GAIL MESERVE
Signature Title DIRECTOR
Signature Date 1/29/18

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