FORM 1023-EZ for HA AZ AREA

Field Data
EIN 84-3485496
Case Number EO-2019343-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HA AZ AREA
Organization’s Mailing Address PO BOX 16361
City PHOENIX
State AZ
ZIP 85013-1402
Accounting period End 12
Primary contact name MELINDA MORALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA MORALES
TREASURER
6201 W OLIVE AVE APT 1186
GLENDALE AZ 85302-4522

Officer/Director/Trustee Two

DUSTIN MOLER
DIRECTOR
609 W ROBINSON DR
PRESCOTT AZ 86303-5899

Officer/Director/Trustee Three

NICHOLAS HEIL
DIRECTOR
1232 STETSON RD UNIT 13
PRESCOTT AZ 86303-5899

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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 MELINDA MORALES
Signature Title TREASURER
Signature Date 12/5/2019

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