FORM 1023-EZ for PURPLE HEART COMBAT WOUNDED VETERANS OF ARIZONA

Field Data
EIN 82-1286505
Case Number EO-2017143-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURPLE HEART COMBAT WOUNDED VETERANS OF ARIZONA
Organization’s Mailing Address 22511 N GALICIA DR
City SUN CITY WEST
State AZ
ZIP 85375-2359
Accounting period End 4
Primary contact name LARRY LEIGHTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY LEIGHTON
DIRECTOR
22511 N GALICIA DR
SUN CITY WEST AZ 85375-2359

Officer/Director/Trustee Two

RONALD CAPEK
DIRECTOR
5221 W MESCAL ST
GLENDALE AZ 85304-3926

Officer/Director/Trustee Three

ROBERT METZIG
DIRECTOR
10015 W SANDSTONE DR
SUN CITY AZ 85351-1952

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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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