FORM 1023-EZ for BOYS GIRLS CLUB OF AHA MACAV INC FORT MOJAVE INDIAN TRIBE NONPROFIT CO

Field Data
EIN 86-0951487
Case Number EO-2017258-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOYS GIRLS CLUB OF AHA MACAV INC FORT MOJAVE INDIAN TRIBE NONPROFIT CO
Organization’s Mailing Address PO BOX 6483
City MOHAVE VALLEY
State AZ
ZIP 86440
Accounting period End 9
Primary contact name KAREN CABANILLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN GARCIA
BOARD PRESIDENT
500 MERRIMAN AVENUE
NEEDLES CA 92363

Officer/Director/Trustee Two

ANITA HOLMES
MEMBER
PO BOX 6483
MOHAVE VALLEY AZ 86440

Officer/Director/Trustee Three

CRAIG CASTILLO SR
MEMBER
8080 DIKE ROAD
MOHAVE VALLEY AZ 86440

Organization’s website N/A
Organization’s email THECLUB@FTMOJAVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/1999
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
Organization’s purpose Charitable: Yes
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 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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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