FORM 1023-EZ for IBETICAN

Field Data
EIN 82-2186718
Case Number EO-2017229-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IBETICAN
Organization’s Mailing Address 12851 W BUCKEYE RD APT 135
City AVONDALE
State AZ
ZIP 85323
Accounting period End 12
Primary contact name DORINE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORINE ROBINSON
PRESIDENT
12851 W BUCKEYE RD APT 135
AVONDALE AZ 85323

Officer/Director/Trustee Two

GINA LOPEZ
VICE PRESIDENT
2714 S 113TH
AVONDALE AZ 85323

Officer/Director/Trustee Three

DOMINIQUE DEBOUSE
TREASURER
7729 W GILES
PHOENIX AZ 85035

Officer/Director/Trustee Four

ASHLEY CHEATHAM
SECRETARY
6061 W SOUTHGATE AVE
PHOENIX AZ 85043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 Yes
Conducting Activities Outside of United States Yes
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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