FORM 1023-EZ for LAKE HAVASU PICKLEBALL COURTS

Field Data
EIN 85-0910401
Case Number EO-2020127-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE HAVASU PICKLEBALL COURTS
Organization’s Mailing Address 2045 PAPAGO LANE
City LAKE HAVASU CITY
State AZ
ZIP 86403-4820
Accounting period End 12
Primary contact name DAVID R ROSSING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ROSSING
PRESIDENT
2045 PAPAGO LANE
LAKE HAVASU CITY AZ 86403-4820

Officer/Director/Trustee Two

RODNEY WINDHORST
TREASURER
770 POSEIDON PLACE
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Three

MIKE DELANEY
SECRETARY
400 STALLION LANE
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Four

DOUG CARR
VICE-PRESIDENT
89 SOUWESTER LANE
LAKE HAVASU CITY AZ 86403

Officer/Director/Trustee Five

CINDY DAVIS
DIRECTOR
1848 E SAVANNAH BEND
LAKE HAVASU CITY AZ 86404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID ROSSING
Signature Title PRESIDENT
Signature Date 5/4/2020

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