FORM 1023-EZ for FLAGSTAFF ROAM

Field Data
EIN 82-2989459
Case Number EO-2017303-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLAGSTAFF ROAM
Organization’s Mailing Address 3360 EAST LINDA VISTA DRIVE
City FLAGSTAFF
State AZ
ZIP 86004
Accounting period End 12
Primary contact name KARI PLANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARI PLANK
BOARD CHAIR
3360 EAST LINDA VISTA DR
FLAGSTAFF AZ 86004

Officer/Director/Trustee Two

LISA HATCH
SECRETARY
3833 E FOXTAIL DR
FLAGSTAFF AZ 86004

Officer/Director/Trustee Three

LAURA STANTON
TREASURER
16 TIN DALE DR
FLAGSTAFF AZ 86005

Officer/Director/Trustee Four

GARY PLANK
CO-CHAIR
3360 EAST LINDA VISTA DRIVE
FLAGSTAFF AZ 86004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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