FORM 1023-EZ for BLKWELLSFRATERNALBENEFITSOCIETY PRIVATEFOUNDATION
| Field | Data |
|---|---|
| EIN | 85-2689334 |
| Case Number | EO-2020244-000678 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLKWELLSFRATERNALBENEFITSOCIETY PRIVATEFOUNDATION |
| Organization’s Mailing Address | 9222 S WELLS RD |
| City | SAFFORD |
| State | AZ |
| ZIP | 85546 |
| Accounting period End | 12 |
| Primary contact name | BILL BOAMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HARLEY WELLS
CHAIRMAN
9222 S WELLS ROAD
SAFFORD AZ 85546
Officer/Director/Trustee Two
DENNIS WELLS
EXTERNAL AFFAIRS OFFICER 1
7504 S CHESTER LANE
SAFFORD AZ 85546
Officer/Director/Trustee Three
DAVID WELLS
VICE
7504 S CHESTER LANE
SAFFORD AZ 85546
Officer/Director/Trustee Four
LEVIE WELLS
TREASURE
8061 WIMOWEH LANE
SAFFORD AZ 85546
Officer/Director/Trustee Five
BILL BOAMAN
MEMBER
1087 JENNINGS STREET
SAFFORD AZ 85546
| Organization’s website | |
|---|---|
| Organization’s email | HARLEYWELLS7265@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/26/2017 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | HARLEY WELLS |
| Signature Title | CHAIRMAN |
| Signature Date | 8/28/2020 |
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