FORM 1023-EZ for MOVEMENT DISORDERS FOUNDATION OF ARIZONA
| Field | Data |
|---|---|
| EIN | 81-2151213 |
| Case Number | EO-2016109-000098 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MOVEMENT DISORDERS FOUNDATION OF ARIZONA |
| Organization’s Mailing Address | 9590 E IRONWOOD SQUARE DR STE 225 |
| City | SCOTTSDALE |
| State | AZ |
| ZIP | 85258 |
| Accounting period End | 12 |
| Primary contact name | JULIE SIEVERT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JULIE SIEVERT
PRESIDENT, DIRECTOR
1840 E PARKSIDE LN
PHOENIX AZ 85024
Officer/Director/Trustee Two
JO-MARIE CARON
SECRETARY, DIRECTOR
450 S ACACIA APT 1051
MESA AZ 85204
Officer/Director/Trustee Three
DAVID BRIGGS
TREASURER, DIRECTOR
3347 E KELTON LN
PHOENIX AZ 85032
Officer/Director/Trustee Four
JESUS VILLANUEVA
DIRECTOR
40815 N HUDSON CT
ANTHEM AZ 85086
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/31/2016 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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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