FORM 1023-EZ for EXPEDITION VISION

Field Data
EIN 81-3041146
Case Number EO-2017018-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXPEDITION VISION
Organization’s Mailing Address 4808 N 24TH ST UNIT 1524
City PHOENIX
State AZ
ZIP 85016
Accounting period End 12
Primary contact name MONICA J STERN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DEPENBUSCH
TREASURER
4808 N 24TH ST UNIT 1524
PHOENIX AZ 85016

Officer/Director/Trustee Two

BROOKE CUDA
PRESIDENT
6510 S HAZELTON LANE STE101
TEMPE AZ 85283

Officer/Director/Trustee Three

JASON PEETZ
SECRETARY
4188 S MARIPOSA DR
GILBERT AZ 85297

Officer/Director/Trustee Four

KATE GOOD
DIRECTOR
2732 MID LANE
HOUSTON TX 77027

Officer/Director/Trustee Five

DENNIS DEPENBUSCH
DIRECTOR
2709 PRINCETON
LAWRENCE KS 66049

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief 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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
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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