FORM 1023-EZ for PARADISE VALLEY COMMUNITY INC

Field Data
EIN 30-0391693
Case Number EO-2017191-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARADISE VALLEY COMMUNITY INC
Organization’s Mailing Address P O BOX 55
City PARADISE VALLEY
State NV
ZIP 89426-0055
Accounting period End 12
Primary contact name BRIAN L BELANGER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM CHABOT
PRESIDENT
P O BOX 26
PARADISE VALLEY NV 89426-0026

Officer/Director/Trustee Two

JIMMY ROHLFING
VICE PRESIDENT
P O BOX 239
PARADISE VALLEY NV 89426-0239

Officer/Director/Trustee Three

MARY FENTON
SECRETARY
P O BOX 24
PARADISE VALLEY NV 89426-0024

Officer/Director/Trustee Four

FRANKIE PETERSON
TREASURER
P O BOX 9
PARADISE VALLEY NV 89426-0009

Officer/Director/Trustee Five

ANDY MATHEWS
MEMBER
P O BOX 5
PARADISE VALLEY NV 89426-0005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/1994
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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