FORM 1023-EZ for PINETOP-LAKESIDE POLICE ASSOCIATIONINC

Field Data
EIN 20-5583450
Case Number EO-2018199-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINETOP-LAKESIDE POLICE ASSOCIATIONINC
Organization’s Mailing Address 1360 N NEILS HANSEN LANE
City LAKESIDE
State AZ
ZIP 85929
Accounting period End 12
Primary contact name GUY WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHAN BIRDSONG
DIRECTOR
1360 N NEILS HANSEN LANE
LAKESIDE AZ 85929

Officer/Director/Trustee Two

DAVID HUMMER
DIRECTOR
1360 N NEILS HANSEN LANE
LAKESIDE AZ 85929

Officer/Director/Trustee Three

REBECCA MAUF
DIRECTOR
1360 N NEILS HANSEN LANE
LAKESIDE AZ 85929

Officer/Director/Trustee Four

GUY WILLIS
DIRECTOR
1360 N NEILS HANSEN LANE
LAKESIDE AZ 85929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J40 - Labor Unions, Organizations
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 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 GUY WILLIS
Signature Title DIRECTOR
Signature Date 7/16/18

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