FORM 1023-EZ for VERDE VALLEY HOMELESS COALITION

Field Data
EIN 82-5453821
Case Number EO-2018186-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERDE VALLEY HOMELESS COALITION
Organization’s Mailing Address 79 S CANYON DIABLO RD APT 16
City SEDONA
State AZ
ZIP 86351
Accounting period End 12
Primary contact name RAENA AVALON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE NAIRN
PRESIDENT
355 C 12TH ST APT 1-2
COTTONWOOD AZ 86326

Officer/Director/Trustee Two

CAROL QUASULA
VICE PRESIDENT
PO BOX 1202
COTTONWOOD AZ 86326

Officer/Director/Trustee Three

JOY MOSLEY
TREASURER
1485 E CRESTVIEW CT
COTTONWOOD AZ 86326

Officer/Director/Trustee Four

NAOMI BARCANIC
SECRETARY
834 KATHY CT
COTTONWOOD AZ 86326

Officer/Director/Trustee Five

TIM ELINSKI
DIRECTOR
1038 N CACTUS ST
COTTONWOOD AZ 86326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOY MOSLEY
Signature Title TREASURER
Signature Date 7/2/18

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