FORM 1023-EZ for LEARNING FORWARD NORTH DAKOTA

Field Data
EIN 46-5333123
Case Number EO-2014338-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEARNING FORWARD NORTH DAKOTA
Organization’s Mailing Address 121 EAST ROSSER AVE
City BISMARCK
State ND
ZIP 58501
Accounting period End 6
Primary contact name JAMES STENEHJEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TABITHA LANGE
PRESIDENT
2000 44TH ST FLOOR 3
FARGO ND 58103

Officer/Director/Trustee Two

JAMES STENEHJEM
TREASURER
121 E ROSSER AVE
BISMARCK ND 58501

Officer/Director/Trustee Three

KIM JONES
SECRETARY
3264 CAMPUS RD STOP 9021 UND
GRAND FORKS ND 58202

Officer/Director/Trustee Four

JENNIFER CARLSON
BOARD MEMBER
205 16TH STREET NW
DEVILS LAKE ND 58301

Officer/Director/Trustee Five

TERRY BRENNER
BOARD MEMBER
2400 47TH AVE S
GRAND FORKS ND 58201

Organization’s website HTTP://WWW.LFND.K12.ND.US/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2014
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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