FORM 1023-EZ for AMERICAN LEADERSHIP ACADEMY-MESA PSO

Field Data
EIN 83-3581356
Case Number EO-2019214-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN LEADERSHIP ACADEMY-MESA PSO
Organization’s Mailing Address 4507 S MOUNTAIN RD
City MESA
State AZ
ZIP 85212
Accounting period End 5
Primary contact name AUBREY LINDBLOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUBREY LINDBLOM
PRESIDENT
11103 E SHEPPERD
MESA AZ 85212

Officer/Director/Trustee Two

LINDSEY DEAN
VICE PRESIDENT
11065 E SHEPPERD
MESA AZ 85212

Officer/Director/Trustee Three

ANNE SPIELBERGER
SECRETARY
40 W COOPER CANYON RD
SAN TAN VALLEY AZ 85143

Officer/Director/Trustee Four

JAMI HALL
TREASURER
10909 E SENTIERO
MESA AZ 85212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 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 AUBREY LINDBLOM
Signature Title PRESIDENT
Signature Date 7/31/19

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