FORM 1023-EZ for COTTONWOOD ROADRUNNERS SQUARE AND ROUND DANCE CLUB INC

Field Data
EIN 83-2170985
Case Number EO-2018306-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COTTONWOOD ROADRUNNERS SQUARE AND ROUND DANCE CLUB INC
Organization’s Mailing Address PO BOX 764
City COTTONWOOD
State AZ
ZIP 86326-764
Accounting period End 5
Primary contact name ROBERT EFROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT EFROS
TREASURER/STATUTORY AGENT
2408 SOUTH EASTERN DRIVE
COTTONWOOD AZ 86326-5831

Officer/Director/Trustee Two

RENEE LORETTE
1ST VICE PRESIDENT
201 EAST MINGUS AVE APT 160
COTTONWOOD AZ 86326-3682

Officer/Director/Trustee Three

DAN DAGGETT
2ND VICE PRESIDENT
15 YELLOW SKY WAY
SEDONA AZ 86326-9777

Officer/Director/Trustee Four

BABETTE TINNIN
SECRETARY
2054 SOUTH ARROWHEAD LANE
COTTONWOOD AZ 86326-5053

Officer/Director/Trustee Five

JACQUE LESLIE
PRESIDENT
1209 MAIN STREET
CLARKDALE AZ 86324

Organization’s website HTTPS://COTTONWOODROADRUNNERS.ORG
Organization’s email INFO@COTTONWOODROADRUNNERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT EFROS
Signature Title TREASURER/STATUTORY AGENT
Signature Date 10/31/18

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