FORM 1023-EZ for AUTUMN RAIN COLLECTIVE

Field Data
EIN 47-2611465
Case Number EO-2015239-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTUMN RAIN COLLECTIVE
Organization’s Mailing Address 2019 EAST FREEPORT LANE
City GILBERT
State AZ
ZIP 85234
Accounting period End 12
Primary contact name AIMEE GHIMIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AIMEE GHIMIRE
DIRECTOR
2019 EAST FREEPORT LN
GILBERT AZ 85234

Officer/Director/Trustee Two

SHAILESH GHIMIRE
DIRECTOR
2019 EAST FREEPORT LANE
GILBERT AZ 85234

Officer/Director/Trustee Three

CONSTANTINE J ELLIOTT
DIRECTOR
4836 BUTTERFLY DRIVE
PRESCOTT AZ 86301

Organization’s website WWW.AUTUMNRAINCOLLECTIVE.COM
Organization’s email MARBLETOFU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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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