FORM 1023-EZ for MOHAVE COUNTY ASSOCIATION FOR RETARDED CITIZENS

Field Data
EIN 86-0769134
Case Number EO-2015037-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOHAVE COUNTY ASSOCIATION FOR RETARDED CITIZENS
Organization’s Mailing Address 2050 AIRWAY
City KINGMAN
State AZ
ZIP 86401
Accounting period End 12
Primary contact name HELEN GILGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT MULANE
PRESIDENT
2054 DELAWARE
KINGMAN AZ 86401

Officer/Director/Trustee Two

VIRGINIA ANGLE
SECRETARY/TREASURER
1738 MIAMI
KINGMAN AZ 86401

Officer/Director/Trustee Three

LINUS CHAPPEL
VICE-PRESIDENT
4395 N VAN NUYS RD
KINGMAN AZ 86409

Officer/Director/Trustee Four

SHARON MOUNSEY
DIRECTOR
9039 N LARIAT DR
KINGMAN AZ 86401

Officer/Director/Trustee Five

HELEN GILGEN
DIRECTOR
2050 AIRWAY
KINGMAN AZ 86401

Organization’s website N/A
Organization’s email MOHAVECOUNTYARC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/1970
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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