FORM 1023-EZ for ARIZONA FRIENDS OF HOMELESS

Field Data
EIN 82-5275844
Case Number EO-2018299-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA FRIENDS OF HOMELESS
Organization’s Mailing Address 2233 N LAUREL AVE
City PHOENIX
State AZ
ZIP 85007
Accounting period End 12
Primary contact name LANE CARRAWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ATANASIO
CHAIR
2233 N LAUREL AVE
PHOENIX AZ 85007

Officer/Director/Trustee Two

TIMOTHYLANE CARRAWAY
VICE CHAIR
1422 N SUNSETDRIVE
TEMPE AZ 85281

Officer/Director/Trustee Three

PAUL DUNHAM
TREASURER
1422 N SUNSET DRIVE
TEMPE AZ 85281

Officer/Director/Trustee Four

CALLIE MONTE
BOARD MEMBER
4918 EAST CORRINE DRIVE
SCOTTSDALE AZ 85254

Officer/Director/Trustee Five

BETTY CATTNSE
BOARD MEMBER
1841 N 85TH DR
PHOENIX AZ 85037

Organization’s website
Organization’s email DUNHAMLANEAZ@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 TIMOTHYLANE CARRAWAY
Signature Title VICE CHAIR
Signature Date 10/24/18

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