FORM 1023-EZ for OCOTILLO SOCIAL SERVICES

Field Data
EIN 86-0680265
Case Number EO-2016272-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCOTILLO SOCIAL SERVICES
Organization’s Mailing Address 3045 N 1ST AVE STE A
City TUCSON
State AZ
ZIP 85719
Accounting period End 12
Primary contact name TUCKER PECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE ELLIS
PRESIDENT
3045 N 1ST AVE STE A
TUCSON AZ 85719

Officer/Director/Trustee Two

TUCKER PECK
VICE PRESIDENT TREASURER
3045 N 1ST AVE STE A
TUCSON AZ 85719

Officer/Director/Trustee Three

JULIE WEINER-DABDA
SECRETARY
3045 N 1ST AVE STE A
TUCSON AZ 85719

Organization’s website WWW.PALOSANTOWELLNESS.ORG
Organization’s email PALOSANTOWELLNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/1989
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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