FORM 1023-EZ for WHITE MOUNTAIN APACHE MINISTRIES

Field Data
EIN 83-3411882
Case Number EO-2020015-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE MOUNTAIN APACHE MINISTRIES
Organization’s Mailing Address PO BOX 2306
City LAKESIDE AZ
State AZ
ZIP 85929
Accounting period End 12
Primary contact name FRAN RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN RODRIGUEZ
PRESIDENT
1490 COMFY COURT
LAKESIDE AZ 85929

Officer/Director/Trustee Two

FRAN RODRIGUEZ
VICE PRESIDENT
PO BOX 2306
LAKESIDE AZ 85929

Officer/Director/Trustee Three

TODD SMITH
TREASURER
4412 SW 8TH TERRACE
BLUE SPRINGS MO 64015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FRAN RODRIGUEZ
Signature Title VICE PRESIDENT
Signature Date 1/13/2020

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