FORM 1023-EZ for ALLY MORGANN INSTITUTE

Field Data
EIN 85-3619246
Case Number EO-2020303-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLY MORGANN INSTITUTE
Organization’s Mailing Address PO BOX 1208
City JEROME
State AZ
ZIP 86331-1208
Accounting period End 12
Primary contact name SHAUNA MATHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAUNA MATHIS
PRESIDENT/CEO
PO BOX 1208
JEROME AZ 86331-1208

Officer/Director/Trustee Two

SHIRLEY PROULX
DIRECTOR
135 MONTEZONA TRAIL
SEDONA AZ 86351-7523

Officer/Director/Trustee Three

STEVE VERGARA
DIRECTOR
PO BOX 1244
COTTONWOOD AZ 86326-1244

Organization’s website
Organization’s email INFO@ALLYMORGANN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 SHAUNA MATHIS
Signature Title PRESIDENT/CEO
Signature Date 10/27/2020

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