FORM 1023-EZ for BENSON BOBCAT ALUMNI ASSOCIATION

Field Data
EIN 81-1196543
Case Number EO-2016130-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENSON BOBCAT ALUMNI ASSOCIATION
Organization’s Mailing Address 167 E 5TH STREET
City BENSON
State AZ
ZIP 85602
Accounting period End 12
Primary contact name DELL MELLENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDITH THOMPSON
PRESIDENT
167 E 5TH STREET
BENSON AZ 85602

Officer/Director/Trustee Two

ANICLETO MALDONADO
VICE PRESIDENT
167 E 5TH STREET
BENSON AZ 85602

Officer/Director/Trustee Three

LORENE WHALEY
SECRETARY
167 E 5TH STREET
BENSON AZ 85602

Officer/Director/Trustee Four

GEORGIA MELLENTINE
TREASURER
167 E 5TH STREET
BENSON AZ 85602

Officer/Director/Trustee Five

DARBY GETZWILLER
DIRECTOR
167 E 5TH STREET
BENSON AZ 85602

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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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