FORM 1023-EZ for CHD FAMILIES OF TUCSON

Field Data
EIN 81-2455097
Case Number EO-2016146-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHD FAMILIES OF TUCSON
Organization’s Mailing Address 1670 W CHIMAYO PL
City TUCSON
State AZ
ZIP 85704-2180
Accounting period End 12
Primary contact name STACY LIPINCZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STACY LIPINCZYK
DIR., PRES., SEC., TREAS.
1670 W CHIMAYO PL
TUCSON AZ 85704-2180

Officer/Director/Trustee Two

MELISSA NAIL
DIR., VICE PRES.
4481 W MEGGAN PL
TUCSON AZ 85741-1685

Organization’s website WWW.CHDTUCSON.ORG
Organization’s email CHDTUCSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 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
Signature Title
Signature Date

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