FORM 1023-EZ for A4A INC

Field Data
EIN 47-1277211
Case Number EO-2014317-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A4A INC
Organization’s Mailing Address 2360 CORPORATE CIRCLE SUITE 400
City HENDERSON
State NV
ZIP 89074-7722
Accounting period End 12
Primary contact name KIRIT BAKSHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIAN SHERIDAN
PRESIDENT SECRETARY
2360 CORPORATE CIRCLE SUITE 400
HENDERSON NV 89074-7722

Officer/Director/Trustee Two

MARGARET MILLER
TREASURER
2360 CORPORATE CIRCLE SUITE 400
HENDERSON NV 89074-7722

Officer/Director/Trustee Three

KIRIT BAKSHI
DIRECTOR
2360 CORPORATE CIRCLE SUITE 400
HENDERSON NV 89074-7722

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
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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