FORM 1023-EZ for FRATERNAL ORDER OF POLICE MESA LODGE 9 CHARITABLE FOUNDATION INC

Field Data
EIN 47-1779196
Case Number EO-2015078-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRATERNAL ORDER OF POLICE MESA LODGE 9 CHARITABLE FOUNDATION INC
Organization’s Mailing Address 9855 E SOUTHERN AVE P O BOX 51629
City MESA
State AZ
ZIP 85208
Accounting period End 12
Primary contact name ANNE STINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WALTER VANCE
CO-CHAIRMAN
1452 E MAIN ST
MESA AZ 85302

Officer/Director/Trustee Two

TONY LUPO
CO-CHAIRMAN
1452 E MAIN ST
MESA AZ 85302

Officer/Director/Trustee Three

KRISTINE MCDONALD
SECRETARY
1452 E MAIN ST
MESA AZ 85302

Officer/Director/Trustee Four

JANA GANN
TREASURER
1452 E MAIN ST
MESA AK 85302

Officer/Director/Trustee Five

RYAN BURNHAM
VICE PRESIDENT, PUBLIC RELATIONS
1452 E MAIN ST
MESA AZ 85302

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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
Signature Title
Signature Date

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