FORM 1023-EZ for ARKANSAS ACCIDENT VICTIMS ASSISTANCE INC

Field Data
EIN 84-2974859
Case Number EO-2019256-000035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARKANSAS ACCIDENT VICTIMS ASSISTANCE INC
Organization’s Mailing Address 5911 STONEWALL RD
City LITTLE ROCK
State AR
ZIP 72207
Accounting period End 12
Primary contact name LOUIS ETOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS ETOCH
DIRECTOR
727 CHERRY ST
HELENA AR 72342

Officer/Director/Trustee Two

IDA ETOCH
DIRECTOR
275 PHILLIPS 318 RD
WEST HELENA AR 72390

Officer/Director/Trustee Three

KAYLN GRIFFIN
DIRECTOR
311 GRIFFIN VALLEY
HELENA AR 72342

Officer/Director/Trustee Four

MARY MCMINN
DIRECTOR
1614 ALBERTA
LITTLE ROCK AR 72227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LOUIS ETOCH
Signature Title DIRECTOR
Signature Date 9/9/19

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