FORM 1023-EZ for NATIONAL SOBER LIVING ASSOCIATION
| Field | Data |
|---|---|
| EIN | 82-4215202 |
| Case Number | EO-2018057-000327 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NATIONAL SOBER LIVING ASSOCIATION |
| Organization’s Mailing Address | 4303 SOUTH BAY SE |
| City | MANDAN |
| State | ND |
| ZIP | 58554 |
| Accounting period End | 12 |
| Primary contact name | JUDITH ROBERTS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JUDITH ROBERTS
PRESIDENT
4303 SOUTH BAY DR SE
MANDAN ND 58554
Officer/Director/Trustee Two
MATT MISAR
VICE PRESIDENT
27048 TALLGRASS AVE
SIOUX FALLS SD 57108
Officer/Director/Trustee Three
KARL MORIS
MEMBER AT LARGE
444 W BADILLO
COVINA SD 91723
Officer/Director/Trustee Four
JASON JOHNSON
MEMBER AT LARGE
9979 SE OLD TOWN COURT
HAPPY VALLEY OR 97086
| Organization’s website | WWW.NATIONALSOBERLIVING.ORG |
|---|---|
| Organization’s email | NATIONALSOBERLIVING@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/15/17 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JUDITH ROBERTS |
| Signature Title | PRESIDENT |
| Signature Date | 2/22/18 |
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