FORM 1023-EZ for HOMELESS ENGAGEMENT AND LIFT PARTNERSHIP INC

Field Data
EIN 47-1110728
Case Number EO-2015233-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMELESS ENGAGEMENT AND LIFT PARTNERSHIP INC
Organization’s Mailing Address 11201 N 79TH AVENUE
City PEORIA
State AZ
ZIP 85345
Accounting period End 12
Primary contact name DAWN MARIE RAPAPORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWN MARIE RAPAPORT
OFFICER
11201 N 79TH AVENUE
PEORIA AZ 85345

Officer/Director/Trustee Two

JILL ST CROIX
OFFICER
7032 W WESCOTT DRIVE
GLENDALE AZ 85308

Officer/Director/Trustee Three

TERRY KUTZER
OFFICER
13435 N 36TH STREET
PHOENIX AZ 85032

Officer/Director/Trustee Four

MICHAEL RAPAPORT
OFFICER
11201 N 79TH AVENUE
PEORIA AZ 85345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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