FORM 1023-EZ for GRASSROOTS DEMOCRACY OF IDAHO

Field Data
EIN 81-3017303
Case Number EO-2017128-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRASSROOTS DEMOCRACY OF IDAHO
Organization’s Mailing Address PO BOX 4466
City POCATELLO
State ID
ZIP 83205-4466
Accounting period End 12
Primary contact name JAMES D WARDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WARDELL
PRESIDENT
635 S 6TH AVE APT 1
POCATELLO ID 83201

Officer/Director/Trustee Two

SUSAN EASTLAKE
VICE PRESIDENT OF THE TREASURY
333 E BROOKHOLLOW DR
BOISE ID 83706

Officer/Director/Trustee Three

CONNELLY FRY
SENIOR VICE PRESIDENT
205 N 10TH AVE
POCATELLO ID 83201

Officer/Director/Trustee Four

CYDNEY LINCH
VICE PRESIDENT OF EDUCATION
863 E LEWIS
POCATELLO ID 83204

Officer/Director/Trustee Five

CASSANDRA CHALKLEY
VICE PRESIDENT OF THE RECORD
PO BOX 4605
POCATELLO ID 83205-4605

Organization’s website WWW.GRASSROOTSOFIDAHO.ORG
Organization’s email GRASSROOTSOFIDAHO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
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
Signature Title
Signature Date

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