FORM 1023-EZ for BACKPACKS 4 KIDS AZ INC

Field Data
EIN 81-3669879
Case Number EO-2016309-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKPACKS 4 KIDS AZ INC
Organization’s Mailing Address 9384 W PAYSON RD
City TOLLESON
State AZ
ZIP 85353
Accounting period End 4
Primary contact name MICHELE TALLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE TALLBERG
DIRECTOR
9384 W PAYSON RD
TOLLESON AZ 85353

Officer/Director/Trustee Two

KAITLYN MARTINEZ
OFFICER
9384 W PAYSON RD
TOLLESON AZ 85353

Officer/Director/Trustee Three

MARGARITO LARA
TRUSTEE
2447 SOUTH 257 AVE
BUCKEYE AZ 85236

Officer/Director/Trustee Four

KELLY CONNOR
OFFICER
19862 N 48TH LANE
GLENDALE AZ 85308

Officer/Director/Trustee Five

MIRIAM MARGULIZ
OFFICER
2238 WEST BOWKER ST
PHOENIX AZ 85041

Organization’s website WWW.BACKPACKS4KIDSAZ.COM
Organization’s email BP4KIDSAZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T19 - Nonmonetary Support N.E.C.
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 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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