FORM 1023-EZ for HUMBOLDT EDUCATION FOUNDATION INCORPORATED

Field Data
EIN 47-3592724
Case Number EO-2015099-000531
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMBOLDT EDUCATION FOUNDATION INCORPORATED
Organization’s Mailing Address 6411 NORTH ROBERT ROAD
City PRESCOTT VALLEY
State AZ
ZIP 86314-5495
Accounting period End 7
Primary contact name JOHN AGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARNIE UHL
CHAIRMAN
6891 FILLY CIRCLE
PRESCOTT VALLEY AZ 86314-5495

Officer/Director/Trustee Two

CARM STAKER
VICE CHAIRMAN
4472 NORTH AGUA FRIA DRIVE
PRESCOTT VALLEY AZ 86314-5495

Officer/Director/Trustee Three

KIRK ANDERSON
CLERK
6411 NORTH ROBERT ROAD
PRESCOTT VALLEY AZ 86314-5495

Officer/Director/Trustee Four

JOHN AGAN
TREASURER
603 ZUNI TRAIL
DEWEY AZ 86327-5639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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
Signature Title
Signature Date

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