FORM 1023-EZ for FRIENDS OF ARIZONA FISHER HOUSE

Field Data
EIN 46-4584753
Case Number EO-2015261-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF ARIZONA FISHER HOUSE
Organization’s Mailing Address 6854 N PLACITA CHULA VISTA
City TUCSON
State AZ
ZIP 85704
Accounting period End 12
Primary contact name FRANK YOUDELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA STAGGS
CHAIRMAN
8140 S HOUGHTON RD STE 130
TUCSON AZ 85747

Officer/Director/Trustee Two

RICHARD GRINNELL
VICE CHAIRMAN
PO BOX 57608
TUCSON AZ 85732

Officer/Director/Trustee Three

FRANK YOUDELMAN
TREASURER
6854 N PLACITA CHULA VISTA
TUCSON AZ 85704

Officer/Director/Trustee Four

AMANDA BELLE VON STOCKHAUSEN GRUNDER
SECRETARY
2871 S JACKSON COURT
TUCSON AZ 85708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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