FORM 1023-EZ for LEE & SUSAN WEST FAMILY FOUNDATION

Field Data
EIN 85-3863516
Case Number EO-2021018-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEE & SUSAN WEST FAMILY FOUNDATION
Organization’s Mailing Address PO BOX 370
City LAKEVILLE
State MN
ZIP 55044
Accounting period End 12
Primary contact name LEE WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BACHMAN WEST
DIRECTOR/PRESIDENT
26347 GALAXIE AVE
FARMINGTON MN 55024

Officer/Director/Trustee Two

LEE WEST
DIRECTOR/TREASURER
26347 GALAXIE AVE
FARMINGTON MN 55024

Officer/Director/Trustee Three

ELISABETH MCCUTCHEON
DIRECTOR
5713 AYRSHIRE BLVD
EDINA MN 55436

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEE WEST
Signature Title DIRECTOR/TREASURER
Signature Date 11/19/2020

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