FORM 1023-EZ for GUAM HERITAGE ASSOCIATION OF NEVADA

Field Data
EIN 83-3893865
Case Number EO-2019232-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUAM HERITAGE ASSOCIATION OF NEVADA
Organization’s Mailing Address 10624 S EASTERN AVE SUITE A-916
City HENDERSON
State NV
ZIP 89052
Accounting period End 12
Primary contact name JOHN P DE NORCEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS PEREZ
PRESIDENT
2887 AINSLIE LAKE AVE
HENDERSON NV 89044

Officer/Director/Trustee Two

JOSE PAULINO
VICE-PRESIDENT
10649 SPRUCE BOUGH ST
LAS VEGAS NV 89183

Officer/Director/Trustee Three

GINGER UNDERWOOD
SECRETARY
1353 SHADOW HAVEN LANE
LAS VEGAS NV 89183

Officer/Director/Trustee Four

JOHN DE NORCEY
TREASURER
504 CAMPUS OAKS CT
LAS VEGAS NV 89183

Officer/Director/Trustee Five

JOHN AGUON
PARLIAMENTARIAN
10471 CAROLINE ROSE ST
LAS VEGAS NV 89183

Organization’s website N/A
Organization’s email GUAMNV@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 JOHN DE NORCEY
Signature Title TREASURER
Signature Date 8/18/19

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