FORM 1023-EZ for ARIZONA FIELD HOCKEY FEDERATION

Field Data
EIN 47-1149829
Case Number EO-2014297-000604
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARIZONA FIELD HOCKEY FEDERATION
Organization’s Mailing Address 150 N LAKEVIEW BLDV NO 25
City CHANDLER
State AZ
ZIP 85225-5846
Accounting period End 12
Primary contact name ARMIN SHAFAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARINA WINN
PRESIDENT
150 N LAKEVIEW BLVD NO 25
CHANDLER AZ 85225-5846

Officer/Director/Trustee Two

APPACHU BALLACHANDA
FINANCE DIRECTOR
150 N LAKEVIEW BLVD NO 25
CHANDLER AZ 85225-5846

Officer/Director/Trustee Three

ARMIN SHAFAI
VICE PRESIDENT
150 N LAKEVIEW BLVD NO 25
CHANDLER AZ 85225-5846

Officer/Director/Trustee Four

JUSTIN ELLIOTT
SECRETARY
150 N LAKEVIEW BLVD NO 25
CHANDLER AZ 85225-5846

Organization’s website WWW.AZFIELDHOCKEY.ORG
Organization’s email ARIZONAFHF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2014
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: No
Religious: No
Educational: No
Scientific: No
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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