FORM 1023-EZ for TREMBLE CLEFS ARIZONA

Field Data
EIN 82-5412582
Case Number EO-2018130-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TREMBLE CLEFS ARIZONA
Organization’s Mailing Address 1206 E HARBOR VIEW DRIVE
City TEMPE
State AZ
ZIP 85283
Accounting period End 12
Primary contact name ELLIS M CARTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM HISTAND
PRESIDENT, DIRECTOR
18402 W LISBON LANE
SURPRISE AZ 85388

Officer/Director/Trustee Two

DONALD DOTTS
VICE PRESIDENT, DIRECTOR
1206 E HARBOR VIEW DRIVE
TEMPE AZ 85283

Officer/Director/Trustee Three

DONNA ROSENHECK
SECRETARY, DIRECTOR
13951 N 102ND STREET
SCOTTSDALE AZ 85260

Officer/Director/Trustee Four

KEVIN RILEY
TREASURER, DIRECTOR
5102 N 42ND PLACE
PHOENIX AZ 85018

Officer/Director/Trustee Five

DAVE BRISCOE
DIRECTOR
16026 N 171ST LANE
SURPRISE AZ 85388

Organization’s website
Organization’s email WSTREMBLECLEFS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JIM HISTAND
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/7/18

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