FORM 1023-EZ for SHELTERING AJO

Field Data
EIN 47-5083333
Case Number EO-2016102-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELTERING AJO
Organization’s Mailing Address 101 WEST LOMITA AVENUE
City AJO
State AZ
ZIP 85321-1013
Accounting period End 12
Primary contact name PRUCILLA LOUISE KRZNARICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN GUINN-LAHM
PRESIDENT
1341 WEST NORTH STREET
AJO AZ 85321-1013

Officer/Director/Trustee Two

JEANNIE MORAGO
VICE PRESIDENT
321 WEST MORANDO
AJO AZ 85321-1013

Officer/Director/Trustee Three

EVE MORGANA WALLACE-COOPER
SECRETARY
740 WEST ESPERANZA AVE
AJO AZ 85321-1013

Officer/Director/Trustee Four

LYDIA LARREMORE
TREASURER
1220 NORTH CEDAR STREET
AJO AZ 85321-1013

Officer/Director/Trustee Five

PRUCILLA KRZNARICH
CASE MANAGER
1425 WEST RASMUSSEN ROAD
AJO AZ 85321-1013

Organization’s website
Organization’s email SHELTERINGAJO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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