FORM 1023-EZ for SHAYARINA AMAZONIAN RESILIENCE

Field Data
EIN 86-1390008
Case Number EO-2021078-000991
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAYARINA AMAZONIAN RESILIENCE
Organization’s Mailing Address 1917 EAST VAUGHN STREE
City TEMPE
State AZ
ZIP 85283
Accounting period End 12
Primary contact name TOD D SWANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOD SWANSON
DIRECTOR (PRESIDENT)
1917 EAST VAUGHN STREE
TEMPE AZ 85283

Officer/Director/Trustee Two

DAVID MANUEL NAVARRETE
DIRECTOR
512 EAST FAIRMONT DRIVE
TEMPE AZ 85282

Officer/Director/Trustee Three

JANIS NUCKOLLS
DIRECTOR
491 WEST 4630 NORTH
PROVO UT 84604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 TOD SWANSON
Signature Title DIRECTOR (PRESIDENT)
Signature Date 1/23/2021

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