FORM 1023-EZ for MACC YES TOTAL HEALTH

Field Data
EIN 82-4206545
Case Number EO-2018054-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACC YES TOTAL HEALTH
Organization’s Mailing Address 2039 W PASADENA AVE APT 1
City PHOENIX
State AZ
ZIP 85015
Accounting period End 3
Primary contact name JAYLYNN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYLYNN SMITH
PRESIDENT
2039 W PASADENA AVE
PHOENIX AZ 85015

Officer/Director/Trustee Two

DARNETTA SHARPE
TREASURER
2039 W PASADENA AVE
PHOENIX AZ 85015

Officer/Director/Trustee Three

ERICA NICKELBERRY
SECRETARY
2039 W PASADENA AVE
PHOENIX AZ 85015

Organization’s website
Organization’s email MACCYES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 JAYLYNN SMITH
Signature Title PRESIDENT
Signature Date 2/21/18

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