FORM 1023-EZ for NORTHERN ARIZONA CLUB FOOTBALL ASSOCIATION

Field Data
EIN 83-2283058
Case Number EO-2019036-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN ARIZONA CLUB FOOTBALL ASSOCIATION
Organization’s Mailing Address 580 N 9TH DRIVE
City SHOW LOW
State AZ
ZIP 85901
Accounting period End 12
Primary contact name MECHEL PETERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FORNEY
PRESIDENT
580 N 9TH DRIVE
SHOW LOW AZ 85901

Officer/Director/Trustee Two

WILLIAM MURRAY
VICE PRESIDENT
1081 PONDEROSA
SHOW LOW AZ 85901

Officer/Director/Trustee Three

MECHEL PETERSEN
SECRETARY
3361 MOGOLLON DR
OVERGAARD AZ 85933

Organization’s website
Organization’s email NACLUBFOOTBALL@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MECHEL PETERSEN
Signature Title SECRETARY
Signature Date 1/17/19

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