FORM 1023-EZ for CENTURY HIGH SCHOOL INC

Field Data
EIN 81-2457814
Case Number EO-2016141-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTURY HIGH SCHOOL INC
Organization’s Mailing Address 5704 E GRANT ROAD
City TUCSON
State AZ
ZIP 85712
Accounting period End 6
Primary contact name WILLIAM RUBASCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM RUBASCH
PRESIDENT, DIRECTOR
5704 E GRANT ROAD
TUCSON AZ 85712

Officer/Director/Trustee Two

APRIL RUBASCH
SECRETARY, DIRECTOR
5704 E GRANT ROAD
TUCSON AZ 85712

Officer/Director/Trustee Three

JAQUELINE TRUJILLO-WATINS
DIRECTOR
5704 E GRANT ROAD
TUCSON AZ 85712

Officer/Director/Trustee Four

ANDREW CLEAVER
DIRECTOR
5704 E GRANT ROAD
TUCSON AZ 85712

Officer/Director/Trustee Five

SHANNON VANDERPOOL
DIRECTOR
5704 E GRANT ROAD
TUCSON AZ 85712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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