FORM 1023-EZ for GREAT ESCAPE ADVENTURE INC

Field Data
EIN 82-5392887
Case Number EO-2018234-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREAT ESCAPE ADVENTURE INC
Organization’s Mailing Address 12689 S MONTANA AVE
City YUMA
State AZ
ZIP 85367
Accounting period End 4
Primary contact name DENISE PERREAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE PERREAULT
DIRECTOR
12689 S MONTANA AVE
YUMA AZ 85367

Officer/Director/Trustee Two

MONIQUE THOMPSON
DIRECTOR
53 CENTER STREET
CHULA VISTA CA 91910

Officer/Director/Trustee Three

NICOLE THOMPSON
DIRECTOR
12325 S FRONTAGE ROAD SPC 249
YUMA AZ 85367

Organization’s website THEGREATESCAPEADVENTURE.ORG
Organization’s email THEGREATESCAPEADVENTURE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 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 DENISE PERREAULT
Signature Title DIRECTOR
Signature Date 8/20/18

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