FORM 1023-EZ for PA ANGNI
| Field | Data |
|---|---|
| EIN | 86-2893330 |
| Case Number | EO-2021104-000437 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PA ANGNI |
| Organization’s Mailing Address | PO BOX 113 |
| City | SECOND MESA |
| State | AZ |
| ZIP | 86043 |
| Accounting period End | 12 |
| Primary contact name | IYAN FREEMAN DIRECTOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
FREDRICK KORUH SR
CHAIRMAN
PO BOX 113
SECOND MESA AZ 86043
Officer/Director/Trustee Two
JOLENE JOHNS
TREASURER
PO BOX 113
SECOND MESA AZ 86043
Officer/Director/Trustee Three
SUSIE KUYVAYA
SECRETARY
PO BOX 613
KYKOTSMOVI AZ 86039
Officer/Director/Trustee Four
IYAN FREEMAN
DIRECTOR OF COMMUNITY DEVELOPMENT
5851 ANDERSON AVE SE SUITE 128
ALBUQUERQUE NM 87108
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/24/2021 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S99 - Community Improvement, Capacity Building N.E.C. |
| 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | IYAN FREEMAN |
| Signature Title | DIRECTOR OF COMMUNITY DEVELOPMENT |
| Signature Date | 4/9/2021 |
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