FORM 1023-EZ for DEECILLA COMFORT CENTER

Field Data
EIN 83-2838595
Case Number EO-2019085-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEECILLA COMFORT CENTER
Organization’s Mailing Address PO BOX 7702
City GOODYEAR
State AZ
ZIP 85338
Accounting period End 10
Primary contact name SHAWANDA R RANDOLPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWANDA R RANDOLPH
CHAIR, PRESIDENT
17860 W DESERT WIND DR
GOODYEAR AZ 85338

Officer/Director/Trustee Two

JENNIFER PREYER-BONTON
CO-CHAIR
15108 W TAYLOR
GOODYEAR AZ 85338

Officer/Director/Trustee Three

JOHN FOUNTAIN
TREASURER,
18399 W PARADISE LANE
SURPRISE AZ 85388

Officer/Director/Trustee Four

DELAINE LANEY
SECRETARY
12740 W INDIAN SCHOOL RD
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Five

WINDLE TUCKER
ADVISOR, BOARD MEMBER
125 N 110TH DR
AVONDALE AZ 85323

Organization’s website WWW.DECILLACENTER.ORG
Organization’s email INFO@DECILLACENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 No
Correctness Declaration Yes
Signature Name SHAWANDA R RANDOLPH
Signature Title CHAIR, PRESIDENT
Signature Date 3/24/19

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