FORM 1023-EZ for CIVITAS CHARITIES
| Field | Data |
|---|---|
| EIN | 84-1786493 |
| Case Number | EO-2019171-000153 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CIVITAS CHARITIES |
| Organization’s Mailing Address | 3036 W CACTUS RD |
| City | PHOENIX |
| State | AZ |
| ZIP | 85029 |
| Accounting period End | 12 |
| Primary contact name | JEROMY WEST |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MONICA MARINER
COO
9003 N 63RD DR
GLENDALE AZ 85302
Officer/Director/Trustee Two
JEROMY WEST
DIRECTOR
3036 W CACTUS
PHOENIX AZ 85029
Officer/Director/Trustee Three
ADAM MARINER
OFFICER
9003 N 63RD DR
GLENDALE AZ 85302
Officer/Director/Trustee Four
CARI ELLEN KIMBALL
OFFICER
3036 W CACTUS
PHOENIX AZ 85029
| Organization’s website | |
|---|---|
| Organization’s email | JEROMY.WEST@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/25/19 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P40 - Family Services |
| 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 | 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 | JEROMY WEST |
| Signature Title | DIRECTOR |
| Signature Date | 6/18/19 |
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