FORM 1023-EZ for ARIVACA SANCTUARY AND RESEARCH

Field Data
EIN 83-4320546
Case Number EO-2019127-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIVACA SANCTUARY AND RESEARCH
Organization’s Mailing Address 16201 W ILI TEKA RD
City ARIVACA
State AZ
ZIP 85601
Accounting period End 12
Primary contact name DR LYLE KOCHINSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYLE KOCHINSKY
DIRECTOR
PO BOX 481
ARIVACA AZ 85601

Officer/Director/Trustee Two

LINDA GELAFIO
DIRECTOR
PO BOX 481
ARIVACA AZ 85601

Officer/Director/Trustee Three

PAM OSBORNE
DIRECTOR
PO BOX 474
ARIVACA AZ 85601

Organization’s website
Organization’s email LDGELAFIO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYLE KOCHINSKY
Signature Title DIRECTOR
Signature Date 5/5/19

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