FORM 1023-EZ for NATIONAL WATER LAW FORUM

Field Data
EIN 83-2221866
Case Number EO-2018309-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL WATER LAW FORUM
Organization’s Mailing Address 1300 SW FIFTH AVENUE SUITE 2400
City PORTLAND
State OR
ZIP 97201
Accounting period End 12
Primary contact name RICHARD GLICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GLICK
PRESIDENT/DIRECTOR
1300 SW FIFTH AVENUE SUITE 2400
PORTLAND OR 97201

Officer/Director/Trustee Two

ANDREW MILLER
VICE PRESIDENT/DIRECTOR
816 CONGRESS SUITE 1260
AUSTIN TX 78701

Officer/Director/Trustee Three

KEVIN PATRICK
SECRETARY/TREASURER/DIRECTOR
197 PROSPECTOR ROAD SUITE 2104A
ASPEN CO 81611

Officer/Director/Trustee Four

JOHN WELDON
DIRECTOR
2850 E CAMELBACK ROAD SUITE 200
PHOENIX AZ 85016

Officer/Director/Trustee Five

JOHN DRAPER
DIRECTOR
325 PASEO DE PERALTA
SANTA FE NM 87501

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C05 - Research Institutes and/or Public Policy Analysis
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 RICHARD GLICK
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/1/18

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