FORM 1023-EZ for OPERATION SHOCKWAVE

Field Data
EIN 82-2910170
Case Number EO-2018071-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATION SHOCKWAVE
Organization’s Mailing Address 3320 SOUTH PRICE RD
City TEMPE
State AZ
ZIP 85282
Accounting period End 9
Primary contact name ANDREW JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW JONES
CEO
2465 W GREY HORSE ST
CHANDLER AZ 85248

Officer/Director/Trustee Two

TIMOTEO ARAIZA
PRESIDENT
4440 N 126TH DR
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Three

JASON MOON
VICE PRESIDENT
751 E REFLECTION PL
CHANDLER AZ 85286

Officer/Director/Trustee Four

CHRISTINE PAYSENO
TREASURER
12525 W SEGOVIA DR
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Five

JUDY MELLODY
SECRETARY
14157 W AMELIA AVE
GOODYEAR AZ 85395

Organization’s website HTTP://WWW.OPERATIONSHOCKWAVE.ORG
Organization’s email AJONES@OPERATIONSHOCKWAVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 ANDREW JONES
Signature Title CEO
Signature Date 3/9/18

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