FORM 1023-EZ for HIGLEY DISTRICT OFFICE HOST COMMITTEE

Field Data
EIN 27-1877279
Case Number EO-2020183-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGLEY DISTRICT OFFICE HOST COMMITTEE
Organization’s Mailing Address 2935 S RECKER RD
City GILBERT
State AZ
ZIP 85295-7846
Accounting period End 6
Primary contact name J KURTIS QUERUBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

J KURTIS QUERUBIN
PRESIDENT
2935 S RECKER RD
GILBERT AZ 85295-7846

Officer/Director/Trustee Two

KIMBERLY DODDS
VICE PRESIDENT
2935 S RECKER RD
GILBERT AZ 85295-7846

Officer/Director/Trustee Three

NICOLE SECORD
TREASURER
2935 S RECKER RD
GILBERT AZ 85295-7846

Officer/Director/Trustee Four

DARLENE REACH
SECRETARY
2935 S RECKER RD
GILBERT AZ 85295-7846

Officer/Director/Trustee Five

LISA BATE
MEMBER AT LARGE
2935 S RECKER RD
GILBERT AZ 85295-7846

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2010
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name J KURTIS QUERUBIN
Signature Title PRESIDENT
Signature Date 6/29/2020

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