FORM 1023-EZ for ARIZONA SOAP BOX DERBY ASSOCIATIONINC

Field Data
EIN 84-2339331
Case Number EO-2019213-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA SOAP BOX DERBY ASSOCIATIONINC
Organization’s Mailing Address 3930 W COSTCO DR
City TUCSON
State AZ
ZIP 85741
Accounting period End 12
Primary contact name MICHAEL BOREALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY KOTALIK
DIRECTOR
3031 W COUNTRY HILL DR
TUCSON AZ 85742

Officer/Director/Trustee Two

DON BROWN
DIRECTOR
2260 W DANTE WAY
TUCSON AZ 85741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 MOLLY KOTALIK
Signature Title DIRECTOR
Signature Date 7/30/19
EIN 84-2339331
Case Number EO-2019213-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA SOAP BOX DERBY ASSOCIATION INC
Organization’s Mailing Address 3930 W COSTCO DR
City TUCSON
State AZ
ZIP 85741
Accounting period End 12
Primary contact name MICHAEL BOREALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY KOTALIK
DIRECTOR
3031 W COUNTRY HILL DR
TUCSON AZ 85742

Officer/Director/Trustee Two

DON BROWN
DIRECTOR
2260 W DANTE WAY
TUCSON AZ 85741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 MOLLY KOTALIK
Signature Title DIRECTOR
Signature Date 7/30/19

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