FORM 1023-EZ for MOUNTAIN VISTA MEDICAL CENTER AUXILIARY

Field Data
EIN 35-2531066
Case Number EO-2015229-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAIN VISTA MEDICAL CENTER AUXILIARY
Organization’s Mailing Address 1309 S CRSIMON RD
City MESA
State AZ
ZIP 85209-3536
Accounting period End 9
Primary contact name WILLIAM RITCHIE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM RITCHIE JR
PRESIDENT
3400 S IRONWOOD DR NO 62
APACHE JUNCTION AZ 85120-6107

Officer/Director/Trustee Two

KATHLEEN SEGAR
VICE PRESIDENT
4659 S ROMANO
MESA AZ 85212-5122

Officer/Director/Trustee Three

BERTHA RITCHIE
TREASURER
3400 S IRONWOOD DR NO 62
APACHE JUNCTION AZ 85120-6107

Officer/Director/Trustee Four

BRONA FREEMAN
SECRETARTY
8265 E SOURTHERN AVE NO 171
MESA AZ 85209-3536

Officer/Director/Trustee Five

PATRICIA THOPMSON
MEMBER AT LARGE
11504 E KILAREA AVE
MESA AZ 85209-3536

Organization’s website
Organization’s email KAMPER2@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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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