FORM 1023-EZ for NWLA FOUNDATION

Field Data
EIN 82-4529249
Case Number EO-2018057-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NWLA FOUNDATION
Organization’s Mailing Address 6050 OLD HWY 2
City BERTHOLD
State ND
ZIP 58718
Accounting period End 12
Primary contact name BOB GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY COONS
CHAIRMAN
6054 74TH ST NW
DONNYBROOK ND 58734

Officer/Director/Trustee Two

DAVID KING
VICE CHAIRMAN
44400 HWY 50 W
KENMARE ND 58746

Officer/Director/Trustee Three

GALEN PETERSON
SECRETARY
2501 95TH ST NW
MAXBASS ND 58760

Officer/Director/Trustee Four

BOB GRANT
TREASURER
6050 OLD HWY 2
BERTHOLD ND 58718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
Organization’s purpose Charitable: No
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 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 TROY COONS
Signature Title CHAIRMAN
Signature Date 2/23/18

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