FORM 1023-EZ for BLIGHT ELIMINATION PROGRAM FOR APACHE COUNTY INC

Field Data
EIN 83-1191296
Case Number EO-2018197-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLIGHT ELIMINATION PROGRAM FOR APACHE COUNTY INC
Organization’s Mailing Address PO BOX 723
City CONCHO
State AZ
ZIP 85924
Accounting period End 12
Primary contact name BARRY WELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY WELLER
DIRECTOR CHAIRPERSON PRESIDENT
LOT 164 ACR N 5386
CONCHO AZ 85924-723

Officer/Director/Trustee Two

GAIL GOLDEN
DIRECTOR SECRETARY TREASURE
36 N3240
CONCHO AZ 85924

Officer/Director/Trustee Three

FRANK WRIGHT
DIRECTOR VICE PRESIDENT
30 GREEN DRIVE
CONCHO AZ 85924

Officer/Director/Trustee Four

TRACY HOWARD
DIRECTOR
79 SPRING STREET
CONCHO AZ 85924

Officer/Director/Trustee Five

BOB BOTHNER
DIRECTOR
63 EVERGREEN LANE
CONCHO AZ 85924

Organization’s website N/A
Organization’s email BEPAC4AC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 BARRY WELLER
Signature Title DIRECTOR CHAIRPERSON PRESIDENT
Signature Date 7/12/18

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